Treatment of Vesicoureteral Reflux after Puberty
Austin JC - The natural history of untreated VUR in postpubertal patients is unknown. Treatment of VUR should be considered in those patients with VUR and recurrent febrile UTIs. The optimal method to treat VUR is not clear. Endoscopic injection is a minimally invasive approach which has a good success rate for treating VUR and offers some benefits over ureteral reimplantation. The role of laparoscopic and robotic ureteral reimplantation is evolving and may offer some advantages over open ureteral reimplantation in postpubertal patients. [more...]
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