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Vesicoureteral reflux in boys
R M Decter1, D R Roth, E T Gonzales
1Scott Department of Urology, Baylor College of Medicine, Houston, Texas.
The Journal of Urology
|November 1, 1988
Summary
This study examined boys with primary vesicoureteral reflux (VUR). The findings suggest a modified management approach for VUR in boys is effective, with no observed renal damage in the observation group.
Area of Science:
- Pediatric Urology
- Nephrology
- Child Health
Background:
- Vesicoureteral reflux (VUR) is common in children, typically affecting more girls.
- Limited data exists on the specific presentation and natural history of VUR exclusively in boys.
Purpose of the Study:
- To characterize the presentation and clinical course of primary VUR in a cohort of 86 boys.
- To evaluate the outcomes of a modified management strategy for VUR in this male population.
Main Methods:
- Retrospective review of 86 boys diagnosed with primary VUR.
- Classification of patients into observation, chemoprophylaxis, or surgical treatment groups based on presentation and initial evaluation.
- Assessment of renal parenchymal status and surgical complication rates.
Main Results:
- 25% of boys presented before 3 months old, with younger infants showing more severe reflux.
- Urinary tract infection was the most common presentation, but 14% had dysfunctional voiding without infection.
- No renal parenchymal loss was observed in the observation group; surgical interventions had no serious complications.
Conclusions:
- A modified management approach for primary VUR in boys appears acceptable.
- Early presentation in boys is associated with more severe reflux.
- Further long-term follow-up is necessary to validate these findings.