TY  - CHAP
T1  - Vesicoureteral reflux: surgery versus medical treatment
T2  - Urogenital Infections and Inflammations
AU  - Holmdahl, Gundela
AU  - Sjöström, Sofia
ED  - Naber, Kurt G.
AD  - Ass prof MD Gundela Holmdahl, Queen Silvia Childrens Hospital, Sahlgrens Academy, Pediatric surgery and urology, Rondvägen 10, 41685, Gothenburg, Sweden, Phone: +46(0)313435141, E-mail: gundela.holmdahl@vgregion.se
N2  - Vesicoureteral reflux is most often diagnosed after febrile urinary tract infection during childhood or at follow-up after a prenatal ultrasound showing dilated upper urinary tracts. The goal of any medical or surgical treatment is to prevent urinary tract infection, which can result in acquired renal damage and in the long run hypertension and chronic renal failure. The condition is heterogeneous and is usually regarded as a congenital urinary abnormality, but may just as well occur due to a functional or neurogenic bladder dysfunction. The grade of reflux and the grade of congenital renal damage varies. The treatment options are surveillance with prompt treatment of febrile urinary tract infection, low dosage antibiotic prophylaxis and different surgical methods to cure the reflux. Despite grade of reflux the spontaneous resolution rate is high, which makes conservative treatment safe if no complications occur. Asymptomatic children with low-grade reflux need no further follow-up or treatment, but in grade 3–5 reflux, there is no consensus yet about which treatment is the best. The treatment should be designed individually for every patient depending on age, sex, grade of reflux, dilatation of the urinary tract, recurrent UTI and microbial resistance, compliance to treatment, bladder dysfunction and type of renal damage.
PY  - 2018
DA  - 2018/03/14
DO  - 10.5680/lhuii000020
LA  - en
L1  - https://series.publisso.de/en/system/getFile/109
UR  - https://dx.doi.org/10.5680/lhuii000020
L2  - https://dx.doi.org/10.5680/lhuii000020
PB  - German Medical Science GMS Publishing House
CY  - Duesseldorf
ER  -