VESICO URETERAL REFLUX CAUSES AND MANAGEMENT

Abstract

This study revealed that vesicoureteral reflux is accompanied by U.T.l and may be complicated by hydroureteronephrosis and impaired renal function. Primary vesicoureteral reflux present in about 25% of children with urinary tract infection, it occurs in females 4 times more than males, and higher grades of pnmary reflux usually accompanied by abnormal renal anatomy and hypertension. The conservative treatment has a role in lower grades of reflux aiming to spontaneous subsidence but there is a tendency to do surgical interferance with increasing age and grade of reflux. Secondary reflux is due to many causes and should by treated according to cause.

Vesicureteral reflux usually affects children more in females. It is usually associated with UTI and the higher grade more commonly associated with abnormal kidneys and abnormal bladder functions as well as may complicated by pyelonephritis and renal scars. Conservative treatment is adviced in almost all cases with normal kidneys and small ages as the spontaneous resolution with maturation of the ureterovesical junction. is the aim. Surgical correction indicated in high grades especially with abnormal kidneys and renal scars. Although surgery decrease the incidence of ascending infection, it does not affect the rate of urinary tract infections in the future.