Editing Pediatrics: Vesicoureteral Reflux (section)

=== Labs ===

* '''<span style="color:#ff0000">UTI'''
** '''<span style="color:#ff0000">Confirmation of UTI is paramount in the appropriate management of the patient with VUR'''
*** The method of urine collection and the presence of pyuria are of utmost importance in the diagnosis of UTI to avoid false-positive culture results
*** '''<span style="color:#ff0000">US of the kidneys and bladder can be considered a reasonable minimum evaluation in the infant or child after a UTI'''
**** '''Older children who present with asymptomatic bacteriuria or UTIs that manifest solely with lower tract symptoms can be screened initially with US alone,''' reserving cystography for those with abnormal upper tracts or recalcitrant infections.
***** The presence of structural renal anomalies or significant asymmetry would support proceeding with a cystogram.