Rappel de l’anatomie et de la physiologie de l’uretère terminal. Etiologie du reflux congenital primaire, discussion des indications opératoires et description de la technique de la plastie antireflux extravésicale. Bref expose des mécanismes du méga-uretère primaire, des indications opératoires et de la tactique chirurgicale. Description des procédés chirurgicaux pour la reconstruction du méga-uretère en un ou plusieurs temps et analyse des résultats. Le present article n’a d’autre but que de presenter au lecteur un resume très condencé et simplifié des problèmes de tactique chirurgicale que soulève le traitement du reflux congenital et du méga-uretère.

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