Brazilian consensus on vesicoureteral reflux–recommendations for clinical practice

Autor: José Murillo B. Netto, Atila Victal Rondon, Marcos Giannetti Machado, Miguel Zerati Filho, Rodrigo Lessa Pena Nascimento, Salvador Vilar Correa Lima, Adriano de Almeida Calado, Ubirajara Barroso Jr
Jazyk: angličtina
Předmět:
Zdroj: International Brazilian Journal of Urology, Vol 46, Iss 4, Pp 523-537
Druh dokumentu: article
ISSN: 1677-5538
1677-6119
DOI: 10.1590/s1677-5538.ibju.2019.0401
Popis: ABSTRACT Introduction Vesicoureteral Reflux (VUR) is characterized by a retrograde flow of urine from the bladder into the ureters and kidneys. It is one of the most common urinary tract anomalies and the major cause of urinary tract infection (UTI) in the first years of life. If not properly diagnosed and treated can lead to recurrent UTI, renal scar and, in severe cases, to end stage renal disease. Despite recent advances in scientific and technological knowledge, evaluation and treatment of VUR is still controversial and there is still considerable heterogeneity in evaluation methods and therapeutic approaches. The aim of the present consensus is to give a practical orientation on how to evaluate and treat VUR. Methods The board of Pediatric Urology of the Brazilian Society of Urology joined a group of experts and reviewed all important issues on Vesicoureteral Reflux evaluation and treatment and elaborated a draft of the document. On November 2017 the panel met to review, discuss and write a consensus document. Results and Discussion Vesicoureteral Reflux is a common and challenging problem in children. Children presenting with Vesicoureteral Reflux require careful evaluation and treatment to avoid future urinary tract infections and kidney scars. The panel addressed recommendations on up to date choice of diagnosis evaluation and therapies.
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