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Clinical Pediatrics, Vol. 15, No. 6, 562-569 (1976)
DOI: 10.1177/000992287601500612

The Practical Management of Vesicoureteral Reflux in Children

A Review of 12 Years' Experience with 236 Patients

Arjan D. Amar, M.B., M.S., F.R.C.S.C, F.A.C.S.

Departments of Urology of the Kaiser-Permanente Medical Center, Walnut Creek, and University of California San Francisco, Department of Pediatrics, Kaiser-Permanente Medical Center, Walnut Creek, Calif.

Bella Singer, M.D.

Departments of Urology of the Kaiser-Permanente Medical Center, Walnut Creek, and University of California San Francisco, Department of Pediatrics, Kaiser-Permanente Medical Center, Walnut Creek, Calif.

Kamla Chabra, M.B., B.S.

Departments of Urology of the Kaiser-Permanente Medical Center, Walnut Creek, and University of California San Francisco, Department of Pediatrics, Kaiser-Permanente Medical Center, Walnut Creek, Calif.

Early recognition, adequate treatment, close observation, and systematic follow-up over a long period are essential to renal salvage in the child with vesicoureteral reflux. The decision whether and when to operate is made on a balance of factors by the pediatrician-urologist team. Among 236 patients with reflux diagnosed during childhood, reflux was stopped in 55 per cent of those treated medically and in 98 per cent of the more severe cases who were treated by ureteral reimplantation. Chronic pyelonephritis appeared or worsened during medical management in 12 per cent; no child showed new pyelonephritic scars or worsening of pyelonephritis after ureteral re implantation.


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