Treatment of vesico-ureteric reflux: A new algorithm based on parental preference

N. Capozza, A. Lais, E. Matarazzo, S. Nappo, M. Patricolo, P. Caione

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To assess parental preference (acknowledged in treatment guidelines as important when choosing therapy) about treatments for vesico-ureteric reflux (VUR, commonly associated with urinary tract infection and which can cause long-term renal damage if left untreated), as at present there is no definitive treatment for VUR of moderate severity (grade III). SUBJECTS AND METHODS: The parents of 100 children with grade III reflux (38 boys and 62 girls, mean age 4 years, range 1-15) were provided with detailed information about the three treatment options available for treating VUR (antibiotic prophylaxis, open surgery and endoscopic treatment), including the mode of action, cure rate and possible complications, and the practical advantages and disadvantages. They were then presented with a questionnaire asking them to choose their preferred treatment. RESULTS: Most parents preferred endoscopic treatment (80%), rather than antibiotic prophylaxis (5%) or open surgery (2%); 13% could not decide among the three options and endoscopic treatment was recommended. CONCLUSION: Given the strong preference for endoscopic treatment we propose a new algorithm for treating VUR; endoscopic treatment would be considered as the first option for persistent VUR, except in severe cases where open surgery would still be recommended.

Original languageEnglish
Pages (from-to)285-288
Number of pages4
JournalBJU International
Volume92
Issue number3
DOIs
Publication statusPublished - Aug 2003

Keywords

  • Choice
  • Endoscopic
  • Open surgery
  • Parents
  • Treatment
  • VUR

ASJC Scopus subject areas

  • Urology

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