The Role of Scheduled Voiding in the Management of Primary Vesicoureteral Reflux

Abstract

The intrammal tunnel shortens as the bladder filis. At any given pressme reflux is more likely to occur when the bladder is full than when it is empty. Therefore, cystoscopic description of the size, shape and position of the ureteral orifices must include a notation regarding the degree of bladder filling. Scheduled voiding is one of the most important adjunctive measures in the non-operative management of primary reflux One of the prime indications for ureteroneocystostomy is the cystoscopic aemonstration of abnormal ureteral orifices at bladder volumes too low to allow a reasonable voiding interval.