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VESICAL SPHINCTER DYSSYNERGIA ASSOCIATED WITH REFLUX

Vesical sphincter dyssynergia in the pediatric patient is getting greater recognition. Its etiology in daytime and nighttime wetting and urinary tract infection has been established. However, severe voiding dysfunction may contribute to significant bladder abnormalities and vesicoureteral reflux. Within the last three years, ten patients with vesical sphincter dyssynergia and reflux have been identified and treated. Eight patients had a reversal of a previous failure of antireflux surgery, by correcting the voiding habits. Two children had a lessening of the degree of reflux prior to antireflux surgery. Elimination of sphincter dyssynergia may help to contribute to normalization of the competence of the intramural ureter.