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Advances in Urology
Volume 2008, Article ID 828275, 3 pages
Review Article

Interactions of Constipation, Dysfunctional Elimination Syndrome, and Vesicoureteral Reflux

1Department of Urology, Rambam Medical Center, The Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 31096, Israel
2Division of Urology, Hospital for Sick Children, Faculty of Medicine, University of Toronto, Ontario, Canada M5G 1X8

Received 16 March 2008; Accepted 16 April 2008

Academic Editor: Hiep Nguyen

Copyright © 2008 Sarel Halachmi and Walid A. Farhat. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Vesicoureteral reflux (VUR) is simply described as incompetence of the unidirectional valve at the ureterovesical junction (UVJ), leading to backflow of urine to the kidney. Today, it is clear that VUR is not only related to the UVJ function but also to a combination of processes including immunity, bladder and pelvic floor function, dysfunctional voiding, and constipation. Although our surgical aims directed towards improving the valve coaptation at the UVJ, we understand today the importance of the diagnosis and treatment of constipation and dysfunctional voiding adjunctively.