VESICOURETERIC REFLUX IN THE ADULT MALE

Summary— The main prevalence of vesicoureteric reflux (VUR) is in the adult female population. Although recognised as a clinical entity in adult males, little detailed information is available on this subject. A retrospective analysis was carried out on the results of 1519 consecutive videocystometrograms performed on male patients. VUR had an overall incidence of 8.6% within this population, with a range of 5.1% in patients with normal urodynamics to 15.6% in those with detrusor‐sphincter dyssynergia. The common denominator between VU R and urodynamic measurement appears to be the generation of high intravesical pressures. These findings suggest that VU R is not uncommon in the male population, is usually asymptomatic and should respond to the treatment of any underlying bladder abnormality. © 1990 British Journal of Urology