Universidade Federal de Juiz de Fora -UFJF, Juiz de Fora, MG, Brasil.
Hospital e Maternidade Therezinha de Jesus da Faculdade de Ciências Médicas e Saúde de Juiz de Fora - HMTJ-SUPREMA, Juiz de Fora, MG, Brasil.
Int Braz J Urol. 2020 Jul-Aug;46(4):523-537. doi: 10.1590/S1677-5538.IBJU.2019.0401.
Vesicoureteral Reflux (VUR) is characterized by a retrograde flow of urine from the bladder into the ureters and kidneys. It is one of the most common urinary tract anomalies and the major cause of urinary tract infection (UTI) in the first years of life. If not properly diagnosed and treated can lead to recurrent UTI, renal scar and, in severe cases, to end stage renal disease. Despite recent advances in scientific and technological knowledge, evaluation and treatment of VUR is still controversial and there is still considerable heterogeneity in evaluation methods and therapeutic approaches. The aim of the present consensus is to give a practical orientation on how to evaluate and treat VUR.
The board of Pediatric Urology of the Brazilian Society of Urology joined a group of experts and reviewed all important issues on Vesicoureteral Refl ux evaluation and treatment and elaborated a draft of the document. On November 2017 the panel met to review, discuss and write a consensus document.
Vesicoureteral Reflux is a common and challenging problem in children. Children presenting with Vesicoureteral Reflux require careful evaluation and treatment to avoid future urinary tract infections and kidney scars. The panel addressed recommendations on up to date choice of diagnosis evaluation and therapies.
膀胱输尿管反流（VUR）的特征是尿液从膀胱逆行流入输尿管和肾脏。它是最常见的尿路异常之一，也是生命最初几年尿路感染（UTI）的主要原因。如果不及时诊断和治疗，可能会导致反复尿路感染、肾脏瘢痕形成，在严重情况下，还会导致终末期肾病。尽管在科学和技术知识方面取得了最近的进展，但 VUR 的评估和治疗仍然存在争议，在评估方法和治疗方法上仍然存在相当大的异质性。本共识的目的是就如何评估和治疗 VUR 提供实用指导。
巴西泌尿科协会小儿泌尿科委员会与一组专家一起审查了所有关于膀胱输尿管反流评估和治疗的重要问题，并起草了一份文件草案。2017 年 11 月，专家组开会审查、讨论和编写共识文件。
膀胱输尿管反流是儿童中常见且具有挑战性的问题。患有膀胱输尿管反流的儿童需要仔细评估和治疗，以避免未来的尿路感染和肾脏瘢痕形成。专家组针对最新的诊断评估和治疗方法提出了建议。
