S. Vlădăreanu, M.M. Cîrstoiu, C. Berceanu, C. Mehedințu, V.I. Mihoci
Rezumat: Vesicoureteral reflux (VUR), the retrograde flow of
urine from the bladder upward toward the kidney, is
diagnosed commonly following an urinary tract (UTI).
The VUR key to diagnosis is to maintain an adequate
index of suspicion for a UTI. A voiding cystography
(VCUG) is required to confirm the diagnosis. The goal
of management is to prevent renal parenchimal injury,
although many patients have renal scarring at the time
of diagnosis. Many patients who have low - or moderate
grade reflux experience spontaneous resolution whith
continous antibiotic chemoprophilaxis. Surgery may
be required in patients who have grade IV-V reflux,
persistent high-grade reflux or febrile breakthrough
infections or who are not compliant with medications. Cuvinte cheie: vesicoureteral reflux (VUR), urinary tract
infection (UTI), reflux nephropathy (congenital/
pyelonephritogenic nephropathy), treatment.