Did our current initial treatment practice change after EAU/ESPU vesicoureteral reflux risk grouping?
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In brief
In brief
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.
Written by the GCMD Library team from the article.
Background/Purpose
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.
Materials and methods
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.
Results
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