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Reflux and voiding abnormalities in children.

P F Nasrallah, J W Simon

    Urology
    |September 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    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.

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    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.

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    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.