Editing AUA: Vesicoureteral Reflux (2017) (section)

== Follow-up after Resolution (surgically or spontaneously) of VUR ==

* '''<span style="color:#ff0000">The long-term concerns of hypertension (particularly during pregnancy), renal functional loss, recurrent UTI, and familial VUR in the child's siblings and offspring should be discussed with the family and communicated to the child at an appropriate age.'''
**'''The long-term health impact of VUR and renal injury may be distant in time''', difficult to accurately predict, and subtle in clinical presentation. This is of particular importance in patients with renal scarring prior to reflux resolution or in whom there is a recurrence of UTI after reflux resolution.
*'''<span style="color:#ff0000">Following the resolution of VUR, general evaluation, including monitoring of blood pressure, height, and weight, and U/A, annually through adolescence is:'''
** '''Recommended if either kidney is abnormal''' by ultrasound or DMSA scanning
** '''Optional if both kidneys are normal''' by ultrasound or DMSA scanning
* '''If febrile UTI following resolution or surgical treatment of VUR, evaluate for (2):'''
*#'''BBD'''
*#'''Recurrent VUR'''