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[The front line on the therapy for VUR in children]
Hiroki Shima1, Saburou Tanikaze, Yoshifumi Sugita
1Hyogo College of Medicine.
Abstract:
The establishment of a guideline for the therapy of vesicoureteral reflux (VUR) by, the American Urological Association (1997) was one of the most remarkable events in the field of pediatric urology. However, in the daily clinical setting we often have difficulty in deciding whether we should proceed to operate or take a watch and wait policy in patients with high grade VUR. In this debate the indication of surgery, alternative minimal invasive choice, and/or conservative therapy for VUR are discussed from clinical standpoints referring to various cases of VUR.
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