Nonsurgical management of primary vesicoureteral reflux in complete ureteral duplication: is it justified?
We reviewed the treatment of 56 children with vesicoureteral reflux and complete duplication of the collecting system, including 14 who had complete bilateral duplication. A total of 70 refluxing duplicated systems was analyzed. Of the patients 18% demonstrated spontaneous resolution of reflux within 42 months, 23% are currently stable on prophylactic antibiotics and 57.1% underwent surgical correction. Spontaneous resolution of reflux occurred in 58% of the children with grades I to III/V reflux. In comparing the group with reflux and duplication to a group with reflux into single systems, we conclude that the patients with duplication and lower grades of reflux can be managed nonoperatively, while infection is prevented with antibiotic prophylaxis.
Urology Service, Walter Reed Army Medical Center, Washington, D.C.
D S
DS
Peppas
S J
SJ
Skoog
D A
DA
Canning
A B
AB
Belman
D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D014513:Ureter / Q000002:abnormalities*; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000628:therapy*