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Controversies in the Management of Vesicoureteral Reflux

  • Pediatric Urology (M Castellan and R Gosalbez, Section Editors)
  • Published:
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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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Conflict of Interest

Angela M. Arlen and Christopher S. Cooper declare no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Departments of Urology and Pediatrics, The University of Iowa, 200 Hawkins Drive, 3RCP, Iowa City, IA, 52242-1089, USA

    Angela M. Arlen & Christopher S. Cooper

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  1. Angela M. Arlen
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  2. Christopher S. Cooper
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Correspondence to Angela M. Arlen or Christopher S. Cooper.

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This article is part of the Topical Collection on Pediatric Urology

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Arlen, A.M., Cooper, C.S. Controversies in the Management of Vesicoureteral Reflux. Curr Urol Rep 16, 64 (2015). https://doi.org/10.1007/s11934-015-0538-2

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  • DOI: https://doi.org/10.1007/s11934-015-0538-2

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