Current management of vesicoureteral reflux in pediatric patients: a review

rrent management of vesicoureteral reflux in pediatric patients: a review Review (560) Total Article Views Authors: Weinberg AE, Hsieh MH Published Date February 2013 Volume 2013:4 Pages 1 - 12 DOI: http://dx.doi.org/10.2147/PHMT.S27681 Received: 27 October 2012 Accepted: 14 December 2012 Published: 15 February 2013 Aviva E Weinberg, Michael H Hsieh Department of Urology, Stanford University School of Medicine, Stanford, CA, USA Abstract: Vesicoureteral reflux (VUR) is both a functional and anatomic pediatric disorder arising from incompetence of the ureterovesical junction. Some children with VUR remain entirely asymptomatic, while others may develop pyelonephritis, renal scarring, and potentially progressive renal insufficiency. There are still many areas of VUR diagnosis, management, and timing of intervention that remain controversial today. This review attempts to synthesize the best available current evidence from the literature dealing with VUR screening, diagnosis, and treatment in order to provide the practitioner with an organized and evidence-based approach to the disease.