Editing Pediatrics: Vesicoureteral Reflux (section)

=== Principles of Reflux Management ===
# '''BBD is by far one of the most critical and modifiable variables that affect VUR management and attendant UTIs'''
#* '''Constipation must be recognized and eliminated as much as possible to establish optimal conditions for successful spontaneous or surgical resolution of reflux'''
#* BBD lowers VUR resolution rates.
# '''Parental perceptions of reflux management must be considered when treating a child with reflux'''
# '''Spontaneous resolution of reflux is very common'''
#* ≈80% of low-grade and ≈50% of grade 3 reflux will resolve spontaneously.
# '''High-grade reflux is less likely to resolve spontaneously'''
# '''Sterile reflux is benign'''
# "Extended use of prophylactic antibiotics is benign"
# Success of (open) surgical correction is very high
#* Ureteral reimplant is successful in correcting reflux in > 98% of cases