The Conservative Management of Vesicoureteric Reflux: A Review of 121 Children
1 Departments of Pediatrics and Radiology, Chaim Sheba Medical Center, and the Tel-Aviv, Sackler School of Medicine, Tel-Hashomer, Israel
A group of 121 children with vesicoureteric reflux (VUR) grades 1 to 3 managed conservatively were followed-up for a period of six to ten years. In the majority of patients VUR grades 1 and 2 disappeared spontaneously. Prognosis was less favorable in those who were seen initially with grade 3 VUR. A statistically significant higher incidence of reflux disappearance was observed in children who were seen before 4 years of age. In the majority of patients with paraureteric-vesicle diverticulum, reflux persisted. Reflux was more likely to disappear in children with lower incidence of urinary tract infection than in those with multiple infections.
Submitted on December 7, 1978Accepted on April 13, 1979




