Approaches to the management of children with urinary tract infection (UTI), vesicoureteral reflux (VUR), and renal scars have been challenged and have become controversial over the past decade.
It is difficult to determine when, how, and which patients will benefit from the diagnosis and management of this condition. Therefore, the issues of diagnostic imaging, observation, follow-up, and intervention tend to be decided more on a case-by-case basis, rather than by using an algorithm. Over the past few years, there have been advances in the identification of risk factors that predispose patients with UTI to present with VUR, to develop recurrent UTIs and renal scars, to have deteriorating renal function, to show VUR improvement and/or spontaneous resolution, and to be candidates for and benefit from early surgical intervention.
Written by:
Roupakias S, Sinopidis X, Karatza A, Varvarigou A. Are you the author?
Department of Pediatric Surgery, University of Patras Medical School, Patras, Greece.
Reference: Clin Pediatr (Phila). 2013 Dec 23. Epub ahead of print.
doi: 10.1177/0009922813515744
PubMed Abstract
PMID: 24366998
UroToday.com Infections Section
