The diagnosis and treatment of vesicoureteral reflux: An update
نویسندگان
چکیده
Vesicoureteral reflux [VUR] remains a common problem seen by pediatric providers. Despite a great deal of research, the debate regarding how to screen and treat patients reremains tense and controversial. This review seeks to summarize the management of VUR with emphasis on recent published findings in the literature and how they contribute to this debate. The goals of managing VUR include preventing future febrile urinary tract infections [FUTI], renal scarring, reflux nephropathy and hypertension. The topdown approach with upper tract imaging and selective vesicocystourethrogram [VCUG] is an emerging alternative approach in the evaluation of children after their first FUTI. The elimination of bladder and bowel dysfunction [BBD] is an important management strategy to prevent further FUTIs, regardless of treatment choice. Antibiotic prophylaxis is a safe and effective modality to sterilize the urinary tract. Endoscopic treatment of VUR is an attractive modality in select patients, although some concerns remain regarding its effectiveness and durability as compared to the gold standard of open or laparoscopic ureteroneocystostomy. Lastly, further research is required to determine the most effective algorithm to evaluate the pediatric patient after the first febrile
منابع مشابه
Evaluation of the VANRIS Injection Success Rate in Vesicoureteral Reflux (VUR) Treatment in Children
Background: Vesicoureteral reflux (VUR) is a common condition among children. Although, subureteral injection is a minimally invasive new method for VUR treatment, ideal bulking agent in endoscopic treatment still remains controversial. We aimed to evaluate VANTRIS subureteral injection efficacy in VUR treatment in pediatric patients. Materials and Methods: All patients who referred to Imam Kho...
متن کاملComparison of ureteral opening distance from midline in children with vesicoureteral reflux and healthy children: a brief report
Background: Vesicoureteral reflux (urinary reflux) is one of the most common congenital anomalies in children. This study aimed to compare the ureteral opening distance from the midline in children with vesicoureteral reflux (VUR) and healthy children Methods: This cross-sectional study was performed on the children with pyelonephritis who were referred to Afzalipour Hospital in Kerman, Iran f...
متن کاملComparative Evaluation of Three Methods of Vesicoureteral Reflux Induction in Rabbits
Objective-comparative evaluation of different surgical methods of vesicoureteral reflux induction in rabbits.Design- Elective experimental study.Animals- sixteen healthy male rabbits.Procedures- sixteen healthy NewZiland White male rabbits were randomly divided in four equal groups. All rabbits were preoperatively evaluated with retrograde cystography for the presence or absence of congenital o...
متن کاملاسکار کلیه ناشی از عفونت ادراری در کودکان بیمارستان امیرکلا، سال 81-1380
Background and purpose : Regarding the importance of diagnosis and proper time of treatment in patients with urinary tract infection (UTI) and vesicoureteral reflux as risk factors for scar, this study was performed to detect the probability of scars appearance in children. Materials and methods : This study was performed on 42 children with urinary tract infection and vesicoureteral reflu...
متن کاملPediatric vesicoureteral reflux approach and management
Vesicoureteral reflux (VUR), the retrograde flow of urine from the bladder toward the kidney, is congenital and often familial. VUR is common in childhood, but its precise prevalence is uncertain. It is about 10–20% in children with antenatal hydronephrosis, 30% in siblings of patient with VUR and 30–40% in children with a proved urinary tract infection (UTI). Ultrasonography is a u...
متن کامل