Figure 828

Effectiveness of medical versus surgical treatment: incidence of urinary tract infections. Vesicoureteral reflux (VUR) predisposes affected persons to urinary tract infection owing to incomplete bladder emptying and urinary stasis. Medical therapy with uroprophylactic antibiotics and surgical correction of VUR have as a goal the prevention of urinary tract infection. In three prospective studies of 400 children with VUR (Southwest Pediatric Nephrology Study Group [SWPNSG], International Reflux Study in Children [IRSC], Birmingham Reflux Study Group [BRSG]) treated either medically or surgically and who were observed over 5 years the rate of infection was similar, ranging from 21% to 39%. The rate of infection was no different between the group treated medically and that treated surgically [20,37,39].

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