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

Retrospective study of 334 renal units examining how EAU/ESPU risk-based guidelines for vesicoureteral reflux changed initial treatment approaches between 2009-2017. Analysis compared medical versus surgical management patterns before and after 2013 guideline implementation, finding high-risk classification and lower urinary tract symptoms significantly influenced treatment decisions.