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[Vesicoureteral refluxes in children during the first two years of life]

G Krzemień1, M Roszkowska-Blaim, I Kostro

  • 1Katedra i Klinika Pediatrii i Nefrologii Akademii Medycznej w Warszawie.

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|July 4, 2001
PubMed

Insights

Vesicoureteral reflux (VUR) in young children often resolves with conservative management, with most cases disappearing within 13.7 months. Recurrent urinary tract infections (UTIs) occurred in 15.6% of children.

Area of Science:

  • Pediatric Nephrology
  • Urology
  • Diagnostic Imaging

Background:

  • Vesicoureteral reflux (VUR) is a common condition in children, often diagnosed following urinary tract infections (UTIs).
  • Understanding the natural history and treatment outcomes of VUR is crucial for pediatric patient management.

Purpose of the Study:

  • To analyze the incidence, characteristics, and treatment outcomes of VUR in children diagnosed by age two.
  • To evaluate the effectiveness of conservative management and identify factors influencing VUR resolution.

Main Methods:

  • Retrospective study of 96 children diagnosed with VUR by age two.
  • Analysis of VUR laterality, coexisting abnormalities, diagnostic imaging findings (USG), and treatment approaches (conservative vs. surgical).
  • Follow-up using voiding cystourethrography to assess VUR resolution rates and recurrent UTIs.

Main Results:

  • VUR was diagnosed in 143 cases, with 51% unilateral and 49% bilateral; 14.6% had coexisting urinary tract abnormalities.
  • Conservative treatment was initiated in 88% of VUR cases and proved successful in 68.6%.
  • VUR resolved in 70.9% of cases after a mean follow-up of 13.7 months, with higher resolution rates in higher grades of VUR.

Conclusions:

  • Conservative management is highly effective for pediatric VUR, leading to spontaneous resolution in a majority of cases.
  • Recurrent UTIs were observed in 15.6% of children, necessitating surgical intervention in a small percentage.
  • Early diagnosis and appropriate management, primarily conservative, are key to favorable outcomes in pediatric VUR.

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