Efficiency of Gil-Vernet Antireflux Surgery in Adults

Background: In this study the results of Anti-reflux surgery was evaluated in adult patients retrospectively. Method and patients: Between 2001 and 2008, 18 patients (15 women and 3 men; median age 25. 5) had Gil-Vernet Antireflux surgery (11 unilateral and seven bilateral ureteric units). The VUR grades were I, II, III,IV and V in 5, 4, 9, 5 and 2 ureteral units. The main indication for surgery was recurrent pyelonephritis. During this study the success rate of surgery was evaluated. Results: The median period of follow-up was 9. 5 months. 20 ureteral units (80%) showed complete cure and 4 ureteral units (16%) showed partial cure. There were some signs of neuropathic bladder in 3 case of patient with no response to surgery. Conclusion: the Gil-Vernet Antireflux surgery is recommendable in adults but we suggest careful evaluation of patients with signs or symptoms of neurogenic bladder.