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Treatment of Vesicoureteral Reflux after Puberty
Author(s) -
J. Christopher Austin
Publication year - 2008
Publication title -
advances in urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.18
H-Index - 30
eISSN - 1687-6377
pISSN - 1687-6369
DOI - 10.1155/2008/590185
Subject(s) - vesicoureteral reflux , medicine , natural history , reflux , urology , surgery , general surgery , disease
Vesicoureteral reflux is uncommonly diagnosed and treated after puberty. The natural history of uncorrected VUR after puberty is not documented. Postpubertal patients with recurrent pyelonephritis and VUR should be considered for treatment. Ureteral reimplantation, endoscopic injections, and laparoscopic or robotic ureteral reimplantation may be utilized. Endoscopic injection is an appealing option for these patients. The role of laparoscopic or robotic ureteral reimplantation in these patients is evolving.

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