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Two hundred thirty-four patients had UUTD (bilateral, n=203; unilateral, n=31). The occurrence of hydronephrosis based on ultrasonography was closely related to ipsilateral VUR (P0.05). Absent of bladder sensation, long-term course of LUTS, decreased maximum cystometric capacity (MCC) and bladder compliance (BC), and increased post-void residual urine (PVR) were shown to be independent risk factors in logistic regression analysis. This retrospective study using UUTD and AUTD systems indicated that patients with myelodysplasia have a