Related Experiment Video

Updated: Jun 1, 2026

Combined Supine and Standing Imaging for Varicocele: An Improved Diagnostic Approach
04:15

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

Published on: November 22, 2024

[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
PubMed

Insights

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.

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.

Related Concept Videos

Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...