| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000434634 |
| ISSN: | 1677-5538 |
| Authors: | Kirsch, Andrew J1 Arlen, Angela M2 |
| Institutions: | 1Emory University, School of Medicine, Atlanta, Georgia. Estados Unidos de América 2Yale University, School of Medicine, New Haven, Connecticut. Estados Unidos de América |
| Year: | 2020 |
| Season: | May-Jun |
| Volumen: | 46 |
| Number: | 3 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, crítico |
| English abstract | Vesicoureteral reflux, the retrograde flow of urine from the bladder into the upper urinary tract, is one of the most common urologic diagnoses in the pediatric population. Once detected, therapeutic options for urinary reflux are diverse, ranging from observation with or without continuous low-dose prophylactic antibiotics to a variety of operative interventions. While a standardized algorithm is lacking, it is generally accepted that management be tailored to individual patients based on various factors including age, likelihood of spontaneous resolution, risk of subsequent urinary tract infections with renal parenchymal injury, and parental preference. Anti-reflux surgery may be necessary in children with persistent reflux, renal scarring or recurrent pyelonephritis after optimization of bladder and bowel habits. Open, laparoscopic/robot-assisted and endoscopic approaches are all successful in correcting reflux and have been shown to reduce the incidence of febrile urinary tract infections |
| Disciplines: | Medicina |
| Keyword: | Urología, Cirugía, Pediatría, Reflujo vesicoureteral, Manejo quirúrgico |
| Keyword: | Urology, Surgery, Pediatrics, Vesico ureteral reflux, Surgical management |
| Full text: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
