title: Vesicoureteral reflux: current management in children.
abstract: Vesicoureteral reflux (VUR) is a disorder that has been studied since the early days of pediatric urology. From 1893, when it was first documented in humans by Pozzi, the research and clinical management of VUR has been marked by pendulum swings through the decades. Initially, the vesicoureteral junction was the main subject of study, whereas current practice takes into account the bladder and bowel dynamics. The primary objective, however, is unchanged: preservation of the kidney and its function. Management of the condition has included open surgery, minimally invasive surgery, endoscopic treatment, antibiotic prophylaxis, and watchful waiting. In this article, we will attempt to cover every angle of this complex pathology and its current management in children.
authors.affiliation: Department of Pediatric Urology, Exequiel González Cortés Hospital, Santiago, Chile, pejotalopez@yahoo.com.
authors.forename: Pedro-Jose
authors.initials: PJ
authors.lastname: Lopez
authors.forename: Soledad
authors.initials: S
authors.lastname: Celis
authors.forename: Francisco
authors.initials: F
authors.lastname: Reed
authors.forename: Ricardo
authors.initials: R
authors.lastname: Zubieta
mesh_terms: D019072:Antibiotic Prophylaxis / Q000379:methods; D002648:Child; D002675:Child, Preschool; D019468:Disease Management; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D014513:Ureter / Q000601:surgery*; D018666:Ureteroscopy; D001743:Urinary Bladder / Q000601:surgery*; D014552:Urinary Tract Infections / Q000209:etiology / Q000517:prevention & control*; D014563:Urodynamics; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000628:therapy*; D057832:Watchful Waiting