Back to Search
Start Over
Primary vesico-ureteric reflux: The need for individualised risk stratification
- Source :
- Hidas, G; Nam, A; Soltani, T; Pribish, M; Watts, B; & Khoury, AE. (2013). Primary vesico-ureteric reflux: The need for individualised risk stratification. Arab Journal of Urology, 11(1), 8-12. doi: 10.1016/j.aju.2012.11.006. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/2mb5r213, Arab Journal of Urology
- Publication Year :
- 2013
- Publisher :
- Elsevier BV, 2013.
-
Abstract
- The management of paediatric primary vesico-ureteric reflux (VUR) has undergone serial changes over the last decade. As this disorder is extremely heterogeneous, and high-quality prospective data are limited, the treatment strategies vary among centres. Current treatment options include observation only, continuous antibiotic prophylaxis, and surgery. Surgical intervention is indicated if a child has a breakthrough urinary tract infection (UTI) while on continuous antibiotic prophylaxis or if there are renal scars present. After excluding a secondary cause of VUR the physician should consider the risk factors affecting the severity of VUR and manage the child accordingly. Those factors include demographic factors (age at presentation, gender, ethnicity) and clinical factors (VUR grade, unilateral vs. bilateral, presence of renal scars, initial presentation, the number of UTIs, and presence of any voiding or bowel dysfunction). In this review we summarise the major controversial issues in current reports on VUR and highlight the importance of individualised patient management according to their risk stratification. © 2012 Arab Association of Urology. Production and hosting by Elsevier B.V. All rights reserved.
- Subjects :
- Pediatrics
medicine.medical_specialty
VCUG, voiding cysto-urethrography
Dimercaptosuccinic acid (DMSA)
Urology
Urinary system
Renal scars
Voiding cysto-urethrography
Prospective data
BBD, bladder and bowel dysfunction
urologic and male genital diseases
Pediatric Urology Review
Vesico-ureteric reflux
Medicine
Antibiotic prophylaxis
Urinary tract infection
US, ultrasonography
business.industry
Reflux
Continuous antibiotic prophylaxis
CAP, continuous antibiotic prophylaxis
RCT, randomised control trial
female genital diseases and pregnancy complications
Risk stratification
Presentation (obstetrics)
business
Bladder and bowel dysfunctions
Ureteric reflux
Subjects
Details
- ISSN :
- 2090598X
- Volume :
- 11
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Arab Journal of Urology
- Accession number :
- edsair.doi.dedup.....bdab8f2a3ac9a14c01103cc3df676c4e
- Full Text :
- https://doi.org/10.1016/j.aju.2012.11.006