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[Long-term results of treatment of vesicoureteral refluxes]

Małgorzata Pańczyk-Tomaszewska1, Piotr Skrzypczyk, Hanna Szymanik-Grzelak

  • 1Katedra i Klinika Pediatrii i Nefrologii Warszawskiego Uniwersytetu Medycznego. nefrologia@litewska.edu.pl

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|October 18, 2008
PubMed

Insights

Treatment for pediatric vesicoureteral refluxes (VUR) showed no impact on kidney function or hypertension. Surgical intervention correlated with higher VUR grades and renal scarring.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Surgical Outcomes

Context:

  • Vesicoureteral reflux (VUR) is a common condition in children.
  • Evaluating treatment outcomes is crucial for long-term renal health.
  • Various treatment modalities exist, including surgical, injection-based, and conservative approaches.

Purpose:

  • To assess the effectiveness of different vesicoureteral reflux (VUR) treatments in children.
  • To compare outcomes based on VUR subsidence, kidney function, renal scarring, and hypertension.

Summary:

  • 156 children with VUR were studied; 68 aged 10+ were analyzed in detail across surgical, injection, and conservative groups.
  • Surgical treatment showed no VUR persistence, while conservative and injection methods had 19.4% and 9.1% persistence, respectively.
  • Operated patients had higher VUR grades and renal scarring, but no significant differences in kidney function or hypertension were noted between groups.

Impact:

  • Treatment method for VUR does not significantly affect long-term kidney function or the development of hypertension.
  • Understanding treatment-specific outcomes aids in clinical decision-making for pediatric VUR management.
  • Higher VUR grades and scarring in surgically treated patients warrant further investigation.
Abstract

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