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Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach

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[Vesicoureteral reflux: diagnostics and therapy].

W H Rösch¹, V Geyer

¹Klinik für Kinderurologie in Kooperation mit dem Lehrstuhl für Urologie, Universität Regensburg, Klinik St. Hedwig, Steinmetzstr. 1-3, 93049 Regensburg, Deutschland. kinderurologie@barmherzige-regensburg.de

Der Urologe. Ausg. A

|June 10, 2011

Summary

Management of vesicoureteral reflux (VUR) in children is debated due to new studies. Key factors like age, kidney health, and parental compliance now guide diagnosis and treatment strategies for VUR.

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Last Updated: Jun 1, 2026

Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach

Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach

Published on: November 22, 2024

Area of Science:

Pediatric Urology
Nephrology
Clinical Management

Background:

Vesicoureteral reflux (VUR) management is controversial.
Recent randomized studies in children have sparked debate on diagnostic and therapeutic approaches.
Individual patient parameters are increasingly important.

Purpose of the Study:

To summarize current diagnostic steps for VUR.
To outline therapeutic management strategies for VUR.
To provide an overview based on recent data and evolving clinical importance of individual parameters.

Main Methods:

Review of recent randomized studies on VUR in children.
Analysis of individual parameters influencing VUR management.
Synthesis of diagnostic and therapeutic algorithms.

Main Results:

The importance of factors like age, gender, clinical course, renal function, renal scars, dysfunctional elimination syndrome, and parental compliance is highlighted.
Recent data supports a more individualized approach to VUR management.
Diagnostic and therapeutic algorithms are evolving.

Conclusions:

Current VUR management requires careful consideration of multiple individual patient factors.
An individualized approach is crucial for effective VUR diagnosis and treatment in children.
Further research and clinical consensus are needed to refine VUR management protocols.