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General Principles of Management of VUR









                                                                                    Key Principles

                                                                                    •       Low grade reflux high chance of spontaneous


                                                                                            resolution

                                                                                    •       High risk VUR → Increased risk UTI


                                                                                    •       Febrile UTIs can lead to renal scarring






                                                                                    Treatment Options:

                                                                                    •       Observation works for majority of low risk

                                                                                    •       Prophylactic antibiotics is benign (?)


                                                                                    •
                       Percentages        Grade III- Unilateral                            • Surgical success rates are high

                                                                                                    Open surgery – highest success rates

                                                                                           •
                                                                                                    Endoscopic – low grades high success rates



                               Resolution - Years
                                                                   IRS, 1997
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