[Primary vesicoureteral reflux in childhood. The current aspects and future outlook]

F Estornell Moragues1, C Reig Ruiz, C Domínguez Hinarejos

  • 1Sección de Urología Pediátrica, Hospital Infantil La Fe, Valencia, España.

Insights

Innovations in diagnosing and treating vesicoureteral reflux (VUR) are improving patient care. New diagnostic methods enhance understanding of VUR

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Diagnostic Imaging

Context:

  • Vesicoureteral reflux (VUR) is a significant condition in pediatric urology.
  • Understanding VUR's clinical, diagnostic, and therapeutic aspects is crucial for effective management.
  • Recent innovations are reshaping the approach to VUR.

Purpose:

  • To review current advancements in vesicoureteral reflux (VUR) management.
  • To analyze the impact of innovations on VUR diagnosis and treatment.
  • To discuss findings from literature review and urodynamic studies in children with VUR.

Summary:

  • Fetal VUR and familial cases are key clinical focus areas.
  • Established diagnostic tools include renal scintiscanning, isotope-labelled cystography, and urodynamics.
  • Urodynamic studies revealed lower urinary tract dysfunction in 50.8% of pediatric VUR patients; endoscopic treatment is gaining prominence over limited surgical innovations.

Impact:

  • New diagnostic methods offer better insights into VUR's natural history.
  • These advancements are expected to drive changes in current VUR management protocols.
  • Improved understanding facilitates more precise and effective therapeutic strategies for VUR.
Abstract

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