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 ==