Medical versus surgical management for vesicoureteric reflux: the case for medical management

Lorenzo, Armando J.

doi:10.5489/cuaj.881

Cited by 2 publications

(2 citation statements)

References 46 publications

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“…Prevention of UTI should include behavioural and other forms of risk factor modification beyond antibiotic prophylaxis, including treatment of constipation and dysfunctional elimination disorders, the optimization of fluid intake and family education about appropriate evaluation and management of a febrile illness [28]. The AUA Guidelines on Management of Primary Vesicoureteral Reflux in Children recommend that if clinical evidence of bladder and bowel dysfunction is present, treatment of the bladder and bowel dysfunction is indicated, preferably before any surgical intervention for VUR is undertaken.…”

Section: Medical/non‐operative Managementmentioning

confidence: 99%

Early management and long‐term outcomes in primary vesico‐ureteric reflux

Coleman

2011

BJU International

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What's known on the subject? and What does the study add? Despite evolving understanding of pathogenesis and natural history, controversy exists regarding management of childhood vesicoureteric reflux. Surgical correction of the reflux itself may reduce risk of upper tract complications in some but may not in itself constitute appropriate management of lower tract morbidity in many. This review examines the evidence for early management and long term outcomes in primary vesicoureteric reflux. Primary vesico‐ureteric reflux is a common condition in childhood associated with bladder dysfunction and an increased risk of urinary tract infection. Recent evidence indicates a lower tract functional abnormality in its pathogenesis. Whilst spontaneous resolution will occur in many, some patients will go on to develop complications in adulthood including reflux nephropathy, hypertension, urinary tract infection, bladder dysfunction and complications of pregnancy. An evolving understanding of the natural history has seen radical changes in management. Evidence for management of the child with primary vesico‐ureteric reflux is reviewed with a focus on the implications on long‐term outcomes in adulthood.

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Section: Medical/non‐operative Managementmentioning

confidence: 99%

Early management and long‐term outcomes in primary vesico‐ureteric reflux

Coleman

2011

BJU International

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“…As indicated in the point/counterpoint article, my personal impression is that the controversy is sometimes erroneously approached. 12 I firmly believe that one of the main problems with our management originates in the idea that there is an overall "superior approach," disregarding the principles of individualization. Patients are different in many underlying factors, some of which may be far more important than the mere presence of reflux or time-honoured descriptive characteristics (such as grade).…”

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confidence: 99%

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Lorenzo¹

2013

CUAJ

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Medical versus surgical management for vesicoureteric reflux: the case for medical management

Cited by 2 publications

References 46 publications

Early management and long‐term outcomes in primary vesico‐ureteric reflux

Early management and long‐term outcomes in primary vesico‐ureteric reflux

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