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Current Surgical Management of Vesicoureteral Reflux

Vesicoureteral reflux (VUR), a common congenital urinary tract anomaly, refers to retrograde flow of urine from the bladder into the upper urinary tract. The main goal in the treatment of pediatric VUR is to preserve renal function by preventing pyelonephritis. Many surgical management options are a...

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Autores principales: Baek, Minki, Kim, Kyung Do
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Urological Association 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830964/
https://www.ncbi.nlm.nih.gov/pubmed/24255753
http://dx.doi.org/10.4111/kju.2013.54.11.732
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author Baek, Minki
Kim, Kyung Do
author_facet Baek, Minki
Kim, Kyung Do
author_sort Baek, Minki
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description Vesicoureteral reflux (VUR), a common congenital urinary tract anomaly, refers to retrograde flow of urine from the bladder into the upper urinary tract. The main goal in the treatment of pediatric VUR is to preserve renal function by preventing pyelonephritis. Many surgical management options are available for pediatric VUR. Open ureteral reimplantation has a high success rate but is invasive and is associated with postoperative pain and morbidity. Endoscopic therapy is minimally invasive but has the disadvantages of decreased short-term success and recurrence of reflux over the long term. Laparoscopic or robotic ureteral reimplantation has become increasingly popular owing to its effectiveness and minimal invasiveness, but long-term outcomes have yet to be documented. Urologists should make an effort to select the appropriate surgical strategy by taking into consideration the individual characteristics of the patient such as age, gender, grade of reflux at presentation, status of renal parenchyma, combined bladder and ureteral circumstances, functional status of the bladder and bowel, and preferences of the patients' family.
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spelling pubmed-38309642013-11-19 Current Surgical Management of Vesicoureteral Reflux Baek, Minki Kim, Kyung Do Korean J Urol Review Article Vesicoureteral reflux (VUR), a common congenital urinary tract anomaly, refers to retrograde flow of urine from the bladder into the upper urinary tract. The main goal in the treatment of pediatric VUR is to preserve renal function by preventing pyelonephritis. Many surgical management options are available for pediatric VUR. Open ureteral reimplantation has a high success rate but is invasive and is associated with postoperative pain and morbidity. Endoscopic therapy is minimally invasive but has the disadvantages of decreased short-term success and recurrence of reflux over the long term. Laparoscopic or robotic ureteral reimplantation has become increasingly popular owing to its effectiveness and minimal invasiveness, but long-term outcomes have yet to be documented. Urologists should make an effort to select the appropriate surgical strategy by taking into consideration the individual characteristics of the patient such as age, gender, grade of reflux at presentation, status of renal parenchyma, combined bladder and ureteral circumstances, functional status of the bladder and bowel, and preferences of the patients' family. The Korean Urological Association 2013-11 2013-11-06 /pmc/articles/PMC3830964/ /pubmed/24255753 http://dx.doi.org/10.4111/kju.2013.54.11.732 Text en © The Korean Urological Association, 2013 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Baek, Minki
Kim, Kyung Do
Current Surgical Management of Vesicoureteral Reflux
title Current Surgical Management of Vesicoureteral Reflux
title_full Current Surgical Management of Vesicoureteral Reflux
title_fullStr Current Surgical Management of Vesicoureteral Reflux
title_full_unstemmed Current Surgical Management of Vesicoureteral Reflux
title_short Current Surgical Management of Vesicoureteral Reflux
title_sort current surgical management of vesicoureteral reflux
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3830964/
https://www.ncbi.nlm.nih.gov/pubmed/24255753
http://dx.doi.org/10.4111/kju.2013.54.11.732
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