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The changing paradigm for the management of pediatric vesicoureteral reflux
1Pediatric Effective Elimination Program Clinic & Consulting, PC, Arvada, CO, USA.
Insights
Pediatric vesicoureteral reflux occurs when the ureterovesical valve is incompetent, causing urine to flow backward into the kidneys. This article reviews current management strategies and the role of advanced practice nurses in supporting affected families.
Area of Science:
- Pediatric Urology
- Nephrology
- Nursing Practice
Background:
- Pediatric vesicoureteral reflux (VUR) involves incompetent ureterovesical valves, leading to retrograde urine flow.
- VUR management is evolving, with ongoing research into long-term childhood and adult outcomes.
- Understanding VUR is crucial for pediatric kidney health.
Purpose of the Study:
- To provide an overview of current pediatric vesicoureteral reflux management.
- To discuss the role of advanced practice registered nurses in VUR care.
- To highlight the importance of family support in managing VUR.
Main Methods:
- Literature review of current VUR management strategies.
- Analysis of the advanced practice registered nurse's role in pediatric VUR care.
- Synthesis of information on long-term outcomes of VUR.
Main Results:
- Current management paradigms for pediatric VUR are rapidly changing.
- Further research is needed to understand long-term outcomes in children and adults.
- Advanced practice registered nurses play a key role in family education and support.
Conclusions:
- Pediatric vesicoureteral reflux requires ongoing management and research.
- The role of advanced practice registered nurses is integral to comprehensive VUR care.
- Long-term outcomes necessitate continued investigation and patient monitoring.
Abstract:
Pediatric vesicoureteral reflux is recognized in children whose ureterovesical valve is incompetent, resulting in flow of urine from the kidney to the bladder and back to the kidney. It is a disease process with a rapidly changing management paradigm; more research is being done to determine the long-term outcomes for those affected in both childhood and adulthood. This article will provide a brief overview of current management and discuss the role of the advanced practice registered nurse with families.
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