[Primary vesicoureteral reflux in childhood. The current aspects and future outlook].
OBJECTIVE
To discuss the current aspects and the impact of innovations on the clinical, diagnostic and therapeutic aspects of vesicoureteral reflux (VUR).


METHODS
The literature on Medline over the last five years are reviewed and the urodynamic findings in our series of children with VUR are analyzed.


RESULTS
Fetal VUR and those diagnosed in children with a family history are currently considered to be the most interesting study groups from the clinical perspective. Renal scintiscanning, isotope-labelled cystography and urodynamic evaluation are well-established diagnostic methods that permit selecting the most appropriate treatment for patients with this anomaly. In our experience, 50.8% of the 128 patients in whom a urodynamic study was performed, showed changes in lower urinary tract function. Innovations in open surgery have been scanty and endoscopic treatment is increasingly utilized, although the search continues for the ideal biological material.


CONCLUSIONS
The new diagnostic methods utilized in the evaluation of children with VUR will permit a better understanding of the natural history of this anomaly lead to changes in the protocols that are currently used.
Estornell Moragues
F
F
Sección de Urología Pediátrica, Hospital Infantil La Fe, Valencia, España.
Reig Ruiz
C
C
Domínguez Hinarejos
C
C
Martínez Verduch
M
M
García Ibarra
F
F
D015415:Biomarkers / Q000032:analysis; D002648:Child; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis; D006801:Humans; D008297:Male; D014563:Urodynamics; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy
D015415:Biomarkers
Reflujo vesicoureteral primario en la infancia. Aspectos actuales y perspectivas futuras.