Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Straub, J; Apfelbeck, M; Karl, A; Khoder, W; Lellig, K; Tritschler, S; Stief, C; Riccabona, M.
[Vesico-ureteral reflux: Diagnosis and treatment recommendations].
Urologe A. 2016; 55(1):27-34
Doi: 10.1007/s00120-015-0003-3
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Riccabona Michael
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- Abstract:
- Vesico-ureteral reflux (VUR) is one of the most common urologic diseases in childhood. About every third child that presents with a urinary tract infection (UTI) has urinary reflux to the ureter or kidney. Demonstration of a backflow of urine into the ureters or kidneys proves vesicoureteral reflux. In unclear cases, a positioned instillation of contrast agent (PIC) cystogram might be performed and is able to prove vesico-ureteral reflux. Since low-grade VUR has a high probability of maturation and self-limitation, infants with VUR should be given prophylactic antibiotics during their first year of life, reevaluating the status of VUR after 12 months. The aim of any treatment is to prevent renal damage. The individual risk of renal scarring is decisive for the choice of adequate therapy. This risk is mainly dependent on reflux grade, age, and gender of the child as well as parental therapy adherence. In principle, therapeutic options include conservative as well as endoscopic or open surgical antireflux therapies. Decisions on treatment should be made individually with parents taking into account all the findings available.
- Find related publications in this database (using NLM MeSH Indexing)
- Anti-Bacterial Agents - therapeutic use
- Child -
- Child, Preschool -
- Endoscopy - standards
- Female -
- Humans -
- Infant -
- Male -
- Practice Guidelines as Topic -
- Treatment Outcome -
- Urinary Tract Infections - complications
- Urinary Tract Infections - diagnosis
- Urinary Tract Infections - drug therapy
- Urography - standards
- Urologic Surgical Procedures - standards
- Vesico-Ureteral Reflux - diagnosis
- Vesico-Ureteral Reflux - etiology
- Vesico-Ureteral Reflux - therapy
- Find related publications in this database (Keywords)
- Voiding cysturethrography
- Urinary tract infections
- Antibiotic prophylaxis
- Dimercaptosuccinic acid
- Antireflux therapy