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[Primary isolated vesico-ureteral reflux in children]
J M Bondonny1, J P Hehunstre, J Carles
1Hôpital des Enfants, Bordeaux.
Presse Medicale (Paris, France : 1983)
|November 7, 1987
Summary
Surgical intervention for primary vesico-ureteral reflux in children is recommended for widely dilated ureters. Non-dilated ureters may not require surgery, with treatment decisions based on reflux severity and patient factors.
Area of Science:
- Pediatric Urology
- Surgical Management
- Renal Health
Context:
- Vesico-ureteral reflux (VUR) is a common condition in children.
- Surgical treatment strategies for VUR have evolved.
- Long-term outcomes and complications require careful consideration.
Purpose:
- To evaluate the outcomes of surgical treatment for primary VUR in children.
- To refine therapeutic strategies based on reflux severity and associated renal damage.
- To provide guidance on surgical versus medical management.
Summary:
- Analysis of 382 pediatric cases treated between 1971-1984.
- Recommends surgery for widely dilated ureters, while non-dilated ureters may be managed conservatively.
- Early surgical intervention is advised for severe renal lesions with significant radiological and biochemical alterations.
Impact:
- Informs clinical decision-making for pediatric VUR management.
- Highlights the importance of individualized treatment based on reflux characteristics and patient condition.
- Contributes to optimizing surgical timing and patient selection for improved renal outcomes.