AUA: Vesicoureteral Reflux (2017): Difference between revisions
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==== Comparison of Options ==== | ==== Comparison of Options ==== | ||
* '''Ureteral reimplantation has higher resolution rates''' | * '''<span style="color:#ff0000">Ureteral reimplantation has higher resolution rates''' | ||
**Resolution rate is ≈98% for open surgery and ≈83% for endoscopic therapy after a single injection of bulking agent | **Resolution rate is ≈98% for open surgery and ≈83% for endoscopic therapy after a single injection of bulking agent | ||
* '''Endoscopic injection of bulking agents is less morbid''' | * '''Endoscopic injection of bulking agents is less morbid''' | ||
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* Postoperative UTIs can occur with either treatment, but are more likely to occur in patients with a prior history of frequent UTIs | * Postoperative UTIs can occur with either treatment, but are more likely to occur in patients with a prior history of frequent UTIs | ||
'''Post-operative follow-up''' | '''<span style="color:#ff0000">Post-operative follow-up''' | ||
* '''Ureteral reimplantation''' | * '''<span style="color:#ff0000">Ureteral reimplantation''' | ||
**'''Renal US should be obtained to assess for obstruction''' | **'''<span style="color:#ff0000">Renal US should be obtained to assess for obstruction''' | ||
*** While an infrequent occurrence, urinary obstruction may be "clinically silent" and have severe consequences that could be readily corrected. | *** While an infrequent occurrence, urinary obstruction may be "clinically silent" and have severe consequences that could be readily corrected. | ||
**'''Voiding cystography is optional''' | **'''<span style="color:#ff0000">Voiding cystography is optional''' | ||
* '''Endoscopic injection of bulking agents''' | * '''<span style="color:#ff0000">Endoscopic injection of bulking agents''' | ||
**'''Voiding cystography is recommended''' | **'''<span style="color:#ff0000">Voiding cystography is recommended''' | ||
== Follow-up after resolution (surgically or spontaneously) of VUR == | == Follow-up after resolution (surgically or spontaneously) of VUR == | ||