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[Vesico-ureteral reflux, endoscopic management]

Marco Cosentino1, Jorge Caffaratti, Ana Bujons

  • 1Fundaciò Puigvert, carrer Cartagena, Universitat Autonoma de Barcelona, Barcelona, España. doccosentino@gmail.com

Archivos Argentinos De Pediatria
|August 6, 2013
PubMed

Insights

Endoscopic treatment is now the preferred method for managing vesico-ureteral reflux (VUR) in children, especially when linked to pyelonephritis or urinary tract infections (UTI). This approach effectively addresses VUR, potentially delaying the need for open surgery.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Surgical Innovation

Context:

  • Vesico-ureteral reflux (VUR) is the retrograde flow of urine from the bladder to the kidneys.
  • It affects 25-70% of children with pyelonephritis and increases risk of renal scarring and chronic kidney disease.
  • Primary and secondary VUR require effective management to prevent long-term renal damage.

Purpose:

  • To review the literature on endoscopic treatment for VUR.
  • To analyze various endoscopic techniques, biomaterials, indications, and complications.
  • To synthesize current European and American guidelines on VUR management.

Summary:

  • Endoscopic injection has emerged as a primary treatment for VUR, particularly in cases associated with urinary tract infections (UTI) and pyelonephritis.
  • Literature review and guideline analysis support its efficacy and safety profile.
  • This minimally invasive approach offers a viable alternative to open surgery.

Impact:

  • Endoscopic VUR treatment is becoming the gold standard, reducing the need for invasive open surgical procedures.
  • Improved outcomes in pediatric renal health by preventing complications like renal scarring.
  • Provides a less invasive option for managing VUR, potentially leading to faster recovery times.
Abstract

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