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Published on: October 12, 2017
[Vesicoureteral reflux in adults]
David García Ortells1, Fernando González-Chamorro, Eldiberto Fernández Fernández
1Servicio de Urología Adultos, Hospital San Rafael de Madrid, Madrid, España. dgortells@yahoo.es
Insights
Primary vesicoureteral reflux (VUR) in adults is understudied. This review clarifies when to suspect, diagnose, and treat adult VUR, addressing knowledge gaps in its epidemiology and clinical management.
Area of Science:
- Urology
- Nephrology
- Pediatric Medicine
Context:
- Primary vesicoureteral reflux (VUR) is a condition affecting the junction between the bladder and ureters.
- Most research on VUR focuses on pediatric cases, leaving adult VUR under-explored.
- Limited understanding exists regarding the incidence, diagnosis, and treatment of VUR in adult populations.
Purpose:
- To review the current literature on adult primary vesicoureteral reflux.
- To elucidate the epidemiology, diagnostic approaches, and treatment strategies for adult VUR.
- To guide clinicians on identifying clinical manifestations suggestive of adult VUR and determining appropriate management.
Summary:
- This article provides a bibliographic review of primary vesicoureteral reflux in adults.
- It addresses the under-researched aspects of adult VUR, including its incidence, clinical presentation, and diagnostic workup.
- The review aims to clarify when adult VUR should be suspected and treated.
Impact:
- Enhances understanding of adult primary vesicoureteral reflux, a condition often overlooked in medical literature.
- Provides a clinical guide for diagnosing and managing adult VUR, potentially improving patient outcomes.
- Highlights the need for further research into the epidemiology and long-term effects of VUR in adults.
Abstract:
Primary vesicoureteral reflux is defined as the dysfunction of the vesicoureteral junction in the absence of any other bladder pathology. Most works in the literature focus on pediatric vesicoureteral reflux, paying little attention to reflux in adults. There is not much knowledge about the real incidence of this pathology in adults and there are few published papers about what are the situations in which we should suspect, perform a diagnostic work up and treat reflux in adult patients. It is article we perform a bibliographic review on topics as important as epidemiology, diagnosis and treatment of reflux in adults. The objective of this article is to transmit what are the clinical manifestations in front of which we should look for adult reflux and when to treat when it is diagnosed.
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