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[The determination of the bladder orifice reflex in children with vesico-ureteral reflux]
Insights
Researchers identified a vesico-ostial reflex, crucial for the vesicoureteral segment
Area of Science:
- Urology
- Pediatric Nephrology
Background:
- Vesicoureteral reflux (VUR) is a common condition in children.
- Understanding the mechanisms of VUR is essential for effective management.
Purpose of the Study:
- To establish the presence and function of a vesico-ostial reflex.
- To investigate the role of gallbladder pressure in vesicoureteral reflux.
Main Methods:
- Utilized profilometry for the registration of vesicoureteral reflux.
- Examined 24 pediatric patients aged 6-12 years with unilateral VUR.
Main Results:
- Established the presence of a vesico-ostial reflex.
- Demonstrated the active obturator function of the vesicoureteral segment during changes in gallbladder pressure.
Conclusions:
- The vesico-ostial reflex plays a significant role in the pathophysiology of VUR.
- Profilometry is an effective method for assessing VUR and related reflexes.
Abstract:
The authors have established the presence of a vesico-ostial reflex providing the active obturator function of the vesicoureteral segment in significant change in gallbladder pressure. For registration of a vesicoureteral reflex, the authors used profilometry. Twenty four patients at the age from 6 to 12 years with unilateral vesicoureteral reflux were examined.