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February 7, 1959

The Ureterovesical Junction: The Theory of Extravesicalization of the Intravesical Ureter

JAMA. 1959;169(6):654. doi:10.1001/jama.1959.03000230110029

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The title of this monograph is misleading because the material covered embraces much more than a classical discussion of the structure, function, and lesions of the ureterovesical junction. The author has assembled a clear, understandable concept of the cause and treatment of nonobstructive dilatation of the upper urinary tract and its associated phenomenon—reflux of urine. This is in contrast to most monographs on neurogenic changes of the lower urinary tract which contain a confusing compound of varying theories and concepts of cause, classification, and pathological changes. In part 1 the author deals exclusively with the spastic neurogenic bladder and explains why the patient who sustains a transection of the spinal cord may develop hydroureter, hydronephrosis, reflux, and uremia. He has studied a large number of paraplegic patients and, from this extensive experience, has developed the hypothesis of upper urinary tract dilatation. In part 2, the ideas developed in part 1

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