Abstract
ABSTRACTIntroductionVesicoureteral 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.MethodsThe 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 DiscussionVesicoureteral 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.
Highlights
Vesicoureteral Reflux (VUR) is characterized by a retrograde flow of urine from the bladder into the ureters and kidneys
The board of Pediatric Urology of the Brazilian Society of Urology, noticing the need of a Brazilian guideline on vesicoureteral reflux, joined a group of experts to review the important issues on VUR and elaborated a consensus document
Eight renewed pediatric urologist with known experience in dealing with urinary tract infections and vesicoureteral reflux were invited to participate in the elaboration of a document with the scope of the guiding urologists, pediatricians, nephrologists and others that deal with children with vesicoureteral reflux on the most important and up to date aspects of the evaluation and treatment of those children
Summary
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. The aim of the present consensus is to give a practical orientation on how to evaluate and treat VUR. On November 2017 the panel met to review, discuss and write a consensus document. Children presenting with Vesicoureteral Reflux require careful evaluation and treatment to avoid future urinary tract infections and kidney scars. Submitted for publication: July 12, 2019 Accepted after revision: November 01, 2019 Published as Ahead of Print: December 30, 2019
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