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[Vesicoureteral reflux in the first year of the life (author's transl)]

F Castelló Girona, L Callis Bracons, R Gosálbez Jordá

    Anales Espanoles De Pediatria
    |January 1, 1982
    PubMed

    Insights

    Vesicoureteric reflux (VUR) in children is linked to kidney scarring and growth issues, with higher VUR grades correlating with worse outcomes. Absence of urinary tract infections (UTI) aids VUR resolution in some cases.

    Area of Science:

    • Pediatric Nephrology
    • Urology

    Context:

    • Vesicoureteric reflux (VUR) affects infants and is graded by severity.
    • Longitudinal studies are crucial for understanding VUR's impact on renal health.

    Purpose:

    • To investigate the relationship between VUR grade, clinical evolution, and renal scarring in children.
    • To determine the influence of urinary tract infections (UTI) on VUR resolution and renal growth.

    Summary:

    • Follow-up of 50 children with VUR revealed a correlation between VUR grade and renal scarring/growth.
    • Grade 3 VUR resolution was influenced by the absence of UTI, unlike Grade 2.
    • UTI impacted renal growth in scarred kidneys with Grade 3 VUR; no new scars formed in initially normal kidneys.

    Impact:

    • Findings highlight the prognostic significance of VUR grading for renal damage.
    • Understanding UTI's role can inform management strategies to preserve renal function.
    • Early identification and monitoring of VUR are vital for preventing long-term kidney complications.

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