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The current evidence based medical management of vesicoureteral reflux: The Sickkids protocol

Sumit Dave1, Antoine E Khoury

  • 1Division of Urology, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, M5G 1X8, Canada.

Indian Journal of Urology : IJU : Journal of the Urological Society of India
|September 1, 2009
PubMed

Insights

Vesicoureteral reflux (VUR) is a common condition in children linked to urinary tract infections and kidney damage. This review examines current literature and a specific management protocol for VUR.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Urology

Background:

  • Vesicoureteral reflux (VUR) is a significant clinical issue in pediatric urology.
  • Its role in pediatric renal damage has evolved with new research.
  • Optimal management strategies for VUR remain a subject of debate.

Purpose of the Study:

  • To review current literature on VUR, focusing on its association with urinary tract infections (UTIs) and renal damage.
  • To describe a specific VUR management protocol used at The Hospital for Sick Children, Toronto.

Main Methods:

  • Literature review of VUR, UTIs, and renal damage.
  • Description of a clinical management protocol.

Main Results:

  • VUR is a key factor in pediatric urology.
  • Understanding of VUR's impact on renal health continues to advance.
  • Controversy exists regarding the best treatment algorithms for VUR.

Conclusions:

  • VUR management requires careful consideration due to its link with UTIs and potential renal damage.
  • The described protocol offers a framework for managing children with VUR.
  • Further research may clarify optimal VUR treatment pathways.

Keywords:
Vesico-ureteral refluxnephropathyurinary tract infection

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