Treatment of Bladder Dysfunction and High Grade Vesicoureteral Reflux Does Not Influence the Spontaneous Resolution Rate

2007 ◽  
Vol 177 (1) ◽  
pp. 325-330 ◽  
Author(s):  
U. Sillén ◽  
G. Holmdahl ◽  
A.L. Hellström ◽  
S. Sjöström ◽  
E. Sölsnes
Keyword(s):  
Vesicoureteral Reflux ◽  
Bladder Dysfunction ◽  
Spontaneous Resolution ◽  
High Grade ◽  
Resolution Rate

scholarly journals Bladder Dysfunction and Vesicoureteral Reflux

2008 ◽  
Vol 2008 ◽  
pp. 1-8 ◽  
Author(s):  
Ulla Sillén
Keyword(s):  
Vesicoureteral Reflux ◽  
Bladder Dysfunction ◽  
Negative Influence ◽  
Spontaneous Resolution ◽  
Resolution Rate ◽  
Bladder Control ◽  
Randomized Controlled Studies ◽  
Before And After ◽  
Filling Phase ◽  
A Prospective Study

In this overview the influence of functional bladder disturbances and of its treatment on the resolution of vesicoureteral reflux (VUR) in children is discussed. Historically both bladder dysfunction entities, the overactive bladder (OAB) and the dysfunctional voiding (DV), have been described in conjunction with VUR. Treatment of the dysfunction was also considered to influence spontaneous resolution in a positive way. During the last decades, however, papers have been published which could not support these results. Regarding the OAB, a prospective study with treatment of the bladder overactivity with anticholinergics, did not influence spontaneous resolution rate in children with a dysfunction including also the voiding phase, DV and DES (dysfunctional elimination syndrome), most studies indicate a negative influence on the resolution rate of VUR in children, both before and after the age for bladder control, both with and without treatment. However, a couple of uncontrolled studies indicate that there is a high short-term resolution rate after treatment with flow biofeedback. It should be emphasized that the voiding phase dysfunctions (DV and DES) are more severe than the genuine filling phase dysfunction (OAB), with an increased frequency of UTI and renal damage in the former groups. To be able to answer the question if treatment of bladder dysfunction influence the resolution rate of VUR in children, randomized controlled studies must be performed.

scholarly journals Urinary tract infection in the setting of vesicoureteral reflux

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 1552 ◽  
Author(s):  
Michael L. Garcia-Roig ◽  
Andrew J. Kirsch
Keyword(s):  
Urinary Tract ◽  
Vesicoureteral Reflux ◽  
Bladder Dysfunction ◽  
Renal Scarring ◽  
Recurrent Infection ◽  
Spontaneous Resolution ◽  
Bowel And Bladder Dysfunction ◽  
Febrile Urinary Tract Infections ◽  
Tract Infections

Vesicoureteral reflux (VUR) is the most common underlying etiology responsible for febrile urinary tract infections (UTIs) or pyelonephritis in children. Along with the morbidity of pyelonephritis, long-term sequelae of recurrent renal infections include renal scarring, proteinuria, and hypertension. Treatment is directed toward the prevention of recurrent infection through use of continuous antibiotic prophylaxis during a period of observation for spontaneous resolution or by surgical correction. In children, bowel and bladder dysfunction (BBD) plays a significant role in the occurrence of UTI and the rate of VUR resolution. Effective treatment of BBD leads to higher rates of spontaneous resolution and decreased risk of UTI.

SPONTANEOUS RESOLUTION OF HIGH GRADE INFANTILE VESICOURETERAL REFLUX

2004 ◽  
Vol 172 (2) ◽  
pp. 694-699 ◽  
Author(s):  
SOFIA SJÖ STRÖ M ◽  
ULLA SILLÉ N ◽  
MARC BACHELARD ◽  
SVERKER HANSSON ◽  
EIRA STOKLAND
Keyword(s):  
Vesicoureteral Reflux ◽  
Spontaneous Resolution ◽  
High Grade
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