Did our current initial treatment practice change after EAU/ESPU vesicoureteral reflux risk grouping?

The “European Association of Urology (EAU) Guidelines on Vesicoureteral Reflux (VUR) in Children (September 2012)” established risk classification by analyzing and defining risk factors for each patient. In this study we aimed to investigate how our initial treatment procedures were affected by EAU/...

Full description

Saved in:
Bibliographic Details
Published in:Journal of pediatric surgery 2019-07, Vol.54 (7), p.1477-1480
Main Authors: Tokat, Eda, Gurocak, Serhat, Ure, Iyimser, Acar, Cenk, Sınık, Zafer, Tan, Mustafa Ozgur
Format: Article
Language:English
Subjects:
EAU/ESPU guidelines on vesicoureteral reflux
Pediatric urology
Reflux risk grouping
Reflux treatment management
Vesicoureteral reflux
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The “European Association of Urology (EAU) Guidelines on Vesicoureteral Reflux (VUR) in Children (September 2012)” established risk classification by analyzing and defining risk factors for each patient. In this study we aimed to investigate how our initial treatment procedures were affected by EAU/ESPU guideline vesicoureteral reflux risk grouping and to compare the early clinical results of treatments performed before and after the risk classification in our patients with VUR. 334 renal units with regular clinical follow-up who were treated owing to VUR (vesicoureteral reflux) between years 2009 and 2017 were retrospectively reviewed. Preoperative clinical parameters such as grade and laterality of reflux, presence of renal scar, initial and follow-up treatments, findings of medical treatment and surgical procedures were analyzed. The initial medical and surgical methods were compared by categorizing patients according to risk groups before and after 2013. Mean age and follow-up duration were 71.4(6–216) months and 47(4–141) months, respectively. Among the preoperative parameters, only high EAU risk group (p = 0.01) and treating lower urinary tract symptoms (p 
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2018.05.004