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[Vesicoureteric reflux and functional voiding dysfunction in children]

Y Badachi1, P Pietrera, A Liard

  • 1Services de Radiologie Centrale, CHU de Rouen.

Journal De Radiologie
|January 4, 2003
PubMed

Insights

Vesicoureteric reflux (VUR) with reflex bladder sphincter dyssynergia (RBSD) in children is complex. Medical management with reeducation is often effective, while surgery is best reserved for persistent cases.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Pediatric Surgery

Context:

  • Reflex bladder sphincter dyssynergia (RBSD) is a condition affecting children, often presenting with vesicoureteric reflux (VUR).
  • Urinary tract infections are the most common symptom, alongside voiding dysfunction.
  • VUR in this cohort was typically low-grade and bilateral.

Purpose:

  • To evaluate the effectiveness of various treatments for VUR associated with RBSD in pediatric patients.
  • To compare surgical reimplantation, behavioral reeducation, and medical management strategies.

Summary:

  • A review of 33 children with RBSD and VUR analyzed outcomes of reimplantation, reeducation, and medical treatments.
  • Early reimplantation resolved VUR but led to post-operative issues in some. Medical treatment, often combined with reeducation, showed promising results in resolving VUR or improving voiding dysfunction.
  • Reeducation followed by reimplantation was also utilized.

Impact:

  • Highlights the complexity of managing VUR in children with RBSD.
  • Suggests that surgical intervention should not be the first-line treatment.
  • Emphasizes the potential role of conservative management and selective surgical use for complete reflux resolution.
Abstract

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