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Current Urology Reports
Published in: Current Urology Reports 9/2015

01-09-2015 | Pediatric Urology (M Castellan and R Gosalbez, Section Editors)

Controversies in the Management of Vesicoureteral Reflux

Authors: Angela M. Arlen, Christopher S. Cooper

Published in: Current Urology Reports | Issue 9/2015

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Abstract

Vesicoureteral reflux (VUR) is the abnormal retrograde flow of urine from the bladder into the upper urinary tract. Diagnosis and subsequent management of VUR have become increasingly controversial, with differing opinions over which children should be evaluated for reflux, and when detected, who should undergo treatment. Management goals include prevention of recurrent febrile urinary tract infection (fUTI) and renal injury while minimizing the morbidity of treatment and follow-up. Management options include observation with or without continuous antibiotic prophylaxis and surgical correction via endoscopic, open or laparoscopic/robotic approaches. Management should be individualized and based on patient age, health, risk of subsequent renal injury, clinical course, renal function, and parental preference.
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Metadata
Title
Controversies in the Management of Vesicoureteral Reflux
Authors
Angela M. Arlen
Christopher S. Cooper
Publication date
01-09-2015
Publisher
Springer US
Published in
Current Urology Reports / Issue 9/2015
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-015-0538-2

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