Pediatrics: Vesicoureteral Reflux: Difference between revisions
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== Natural History == | == Natural History == | ||
* '''At birth, the probability of spontaneous resolution of primary VUR is inversely proportional to the initial grade''' | * '''<span style="color:#ff0000">At birth, the probability of spontaneous resolution of primary VUR is inversely proportional to the initial grade''' | ||
** '''Most cases of low-grade reflux (grade 1 and 2) will resolve''' | ** '''<span style="color:#ff0000">Most cases of low-grade reflux (grade 1 and 2) will resolve''' | ||
** '''Grade 3 reflux will resolve in ≈50% of cases''' | ** '''<span style="color:#ff0000">Grade 3 reflux will resolve in ≈50% of cases''' | ||
** '''Very few cases of higher-grade reflux (grades 4 and 5, and bilateral grade 3) will resolve spontaneously''' | ** '''<span style="color:#ff0000">Very few cases of higher-grade reflux (grades 4 and 5, and bilateral grade 3) will resolve spontaneously''' | ||
*** Attempting to discriminate true differences in resolution rates for grades 3 and higher reflux may not be particularly clinically relevant. | *** Attempting to discriminate true differences in resolution rates for grades 3 and higher reflux may not be particularly clinically relevant. | ||
* '''At a later age, spontaneous resolution will depend on:''' | * '''At a later age, spontaneous resolution will depend on:''' | ||