Page 6 - Flipbook
P. 6
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