Current management of vesicoureteral reflux in pediatric patients: a review

Abstract

Aviva E Weinberg, Michael H HsiehDepartment of Urology, Stanford University School of Medicine, Stanford, CA, USAAbstract: Vesicoureteral reflux (VUR) is both a functional and anatomic pediatric disorder arising from incompetence of the ureterovesical junction. Some children with VUR remain entirely asymptomatic, while others may develop pyelonephritis, renal scarring, and potentially progressive renal insufficiency. There are still many areas of VUR diagnosis, management, and timing of intervention that remain controversial today. This review attempts to synthesize the best available current evidence from the literature dealing with VUR screening, diagnosis, and treatment in order to provide the practitioner with an organized and evidence-based approach to the disease.Keywords: vesicoureteral, children, treatment, antibiotics, prophylaxis, reimplantation