Speciality
Spotlight

 




 

Urology

 

 




Vesicoureteral Reflux

      

  • M Wennerstrom, S Hansson, U Jodal, et al [ Sahigrenska Univ, Goteborg, Sweden]


    Disappearance of Vesicoureteral Reflux in Children



    Arch Pediatr Adolesc Med 152 : 879-883, 1998


       


    Conclusions – Most high-grade reflux resolves, although the median time to resolution in this series was 6 to 8 years. The medical management of reflux requires patience by the physician and the family. Follow-up imaging should be performed infrequently [every 12
    to 18 months], unless the clinical situation changes.

        


    Most children do very well on preventive antibiotics, so breakthrough UTIs or interval development of new renal scars rarely occur. If a toilet-trained child is having UTIs while receiving preventive antibiotics, the urologist should have an increased index of suspicion for dysfunctional voiding.

         


    The 7-year old child with grade II or III re fulx, will still likely outgrow it. If such children have a normal voiding pattern, they probably do not need a preventive antibiotic, as, in most cases. UTIs will not develop, and the reflux [ in the absence of UTIs] is not associated with the development of new renal scars.

         

 



 

  

Speciality Spotlight

 

 
Urology
 

 

Vesicoureteral Reflux
      

  • M Wennerstrom, S Hansson, U Jodal, et al [ Sahigrenska Univ, Goteborg, Sweden]
    Disappearance of Vesicoureteral Reflux in Children
    Arch Pediatr Adolesc Med 152 : 879-883, 1998
       
    Conclusions – Most high-grade reflux resolves, although the median time to resolution in this series was 6 to 8 years. The medical management of reflux requires patience by the physician and the family. Follow-up imaging should be performed infrequently [every 12 to 18 months], unless the clinical situation changes.
        
    Most children do very well on preventive antibiotics, so breakthrough UTIs or interval development of new renal scars rarely occur. If a toilet-trained child is having UTIs while receiving preventive antibiotics, the urologist should have an increased index of suspicion for dysfunctional voiding.
         
    The 7-year old child with grade II or III re fulx, will still likely outgrow it. If such children have a normal voiding pattern, they probably do not need a preventive antibiotic, as, in most cases. UTIs will not develop, and the reflux [ in the absence of UTIs] is not associated with the development of new renal scars.
         

 

 

By |2022-07-20T16:43:37+00:00July 20, 2022|Uncategorized|Comments Off on Vesicoureteral Reflux

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