Figure 829

Effectiveness of medical versus surgical treatment: incidence of urinary tract infection versus pyelonephritis in severe vesicoureteral reflux (VUR). Although the incidence of urinary tract infections (UTIs) is the same in surgically and medically treated children with VUR, the severity of infection is greater in those treated medically. The International Reflux Study in Children (IRSC) (European group) studied 306 children with VUR and observed them over 5 years; 155 were randomized to medical therapy, and 151 had surgical correction of their reflux. Although the incidence of UTI statistically was no different between the groups (38% in the medical group, 39% in the surgical group), children treated medically had an incidence of pyelonephritis twice as high (21%) as those treated surgically (10%) [41].

VUR detected

0 0

Post a comment