Treatment of Vesicoureteral Reflux after Puberty
Author Information
Author(s): J. Christopher Austin
Primary Institution: University of Iowa
Hypothesis
The natural history of uncorrected vesicoureteral reflux (VUR) after puberty is not documented.
Conclusion
Treatment of VUR should be considered in patients with recurrent febrile UTIs, and endoscopic injection may offer benefits over traditional surgical methods.
Supporting Evidence
- The incidence of VUR associated with UTIs drops significantly in older children, particularly after the age of 5.
- Endoscopic injection has been reported to have success rates greater than 90% by experienced surgeons.
- Pregnant women with a history of VUR or surgically corrected VUR have higher rates of UTIs and pyelonephritis.
Takeaway
Vesicoureteral reflux is a condition that can cause urinary tract infections, and treating it after puberty can help prevent future problems.
Methodology
The article reviews the association of VUR and UTIs in patients treated after puberty and examines treatment options.
Potential Biases
The retrospective nature of some studies may introduce selection bias.
Limitations
There are no long-term studies documenting the natural history of uncorrected VUR after puberty.
Participant Demographics
The study discusses postpubertal patients, particularly focusing on females.
Digital Object Identifier (DOI)
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