Vesico - ureteric reflux

نویسندگان

  • George Sakellaris
  • Anastasia Dimopoulou
چکیده

Vesicoureteral reflux (VUR) is the retrograde flow of urine from the bladder into the ureter. A normally functioning ureteral vesical junction (UVJ) allows for the smooth expulsion of urine from the ureter into the bladder without regurgitation of urine back up the ureter, either during bladder filling or upon voiding, If this valvular mechanism fails, from whatever etiology, urine flowing backward from the bladder into the ureter and/or kidney. The competence of the UVJ valvular mechanism depends on the length of the sudmucosal tunnel, which tends to increase with age and is the basis for expectant management of reflux (1). Vesicoureteral reflux is considered to be the most common urological anomaly in children. It occurs in approximately 1-3% of children and is associated with 7-17% of children diagnosed with end-stage renal disease worldwide (2, 3, 4). An estimated 30-40% of children under the age of 5 years who develop a urinary tract infection (UTI) have VUR (2, 4). Treatment of VUR is aimed at preventing the sequelae of pyelonephritis, renal parenchimal injury, hypertension and chronic renal insufficiency. A period

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تاریخ انتشار 2013