Vesicoureteral Reflux: Current Management in Children

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• 作者：Pedro-Jose Lopez (1) (3)
  Soledad Celis (2)
  Francisco Reed (1) (4)
  Ricardo Zubieta (1) (3)
  
  1. Department of Pediatric Urology ; Exequiel Gonz谩lez Cort茅s Hospital ; Santiago ; Chile
  3. Cl铆nica Alemana ; Barros Luco 3301 ; San Miguel ; Santiago ; Chile
  2. Department of Pediatric Urology ; San Borja Arriaran Hospital ; Santiago ; Chile
  4. Cl铆nica Santa Mar铆a ; Santiago ; Chile
  
• 关键词：Index ; Vesicoureteral reflux ; Children ; Management ; Review ; Pediatric urology
• 刊名：Current Urology Reports
• 出版年：2014
• 出版时间：October 2014
• 年：2014
• 卷：15
• 期：10
• 全文大小：218 KB
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• 刊物主题：Urology/Andrology; Nephrology;
• 出版者：Springer US
• ISSN：1534-6285

文摘

Vesicoureteral reflux (VUR) is a disorder that has been studied since the early days of pediatric urology. From 1893, when it was first documented in humans by Pozzi, the research and clinical management of VUR has been marked by pendulum swings through the decades. Initially, the vesicoureteral junction was the main subject of study, whereas current practice takes into account the bladder and bowel dynamics. The primary objective, however, is unchanged: preservation of the kidney and its function. Management of the condition has included open surgery, minimally invasive surgery, endoscopic treatment, antibiotic prophylaxis, and watchful waiting. In this article, we will attempt to cover every angle of this complex pathology and its current management in children.