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Reflux and voiding abnormalities in children

P F Nasrallah, J W Simon

    Urology
    |September 1, 1984
    PubMed

    Insights

    Dysfunctional voiding can cause childhood vesicoureteral reflux (VUR). Conservative management focusing on infection control and improved voiding habits can lead to spontaneous VUR resolution in many children.

    Area of Science:

    • Pediatric Urology
    • Urodynamics
    • Pediatric Nephrology

    Background:

    • Vesicoureteral reflux (VUR) in children is often associated with dysfunctional voiding.
    • Urodynamic studies are crucial for evaluating VUR and voiding dysfunction.

    Purpose of the Study:

    • To investigate the urodynamic findings in children with VUR and a history of dysfunctional voiding.
    • To assess the outcomes of conservative management versus surgical intervention for VUR in this patient group.

    Main Methods:

    • Urodynamic evaluation of 24 pediatric patients with VUR and dysfunctional voiding.
    • Conservative management (infection control, voiding habit improvement) for 15 patients.
    • Antireflux surgery for 9 patients.

    Main Results:

    • Conservative management led to spontaneous resolution of reflux in 12 of 15 patients.
    • One patient showed improvement with conservative management.
    • Dysfunctional voiding was identified as a significant factor in childhood VUR.

    Conclusions:

    • Dysfunctional voiding is a primary cause of pediatric VUR.
    • Improving voiding patterns through conservative treatment is an effective strategy.
    • Coordinated voiding may enable children to overcome VUR naturally.

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