Evolving surgical management of pediatric vesicoureteral reflux: is open ureteral reimplantation still the 'Gold Standard'?
Int. braz. j. urol
;
46(3): 314-321, May-June 2020. graf
Artículo
en Inglés
| LILACS
| ID: biblio-1090624
ABSTRACT
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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Reflujo Vesicoureteral
Límite:
Niño
/
Humanos
Idioma:
Inglés
Revista:
Int. braz. j. urol
Asunto de la revista:
Urología
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
Estados Unidos
Institución/País de afiliación:
Emory University School of Medicine Children's Healthcare of Atlanta/US
/
Yale University School of Medicine/US
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