We have located links that may give you full text access.
JOURNAL ARTICLE
REVIEW
Vesicoureteral reflux in infants.
Pediatric Nephrology 1999 May
Grade 5 vesicoureteral reflux (VUR) is almost exclusively seen in male infants, and in one-third of cases occurring with a generalized small kidney with decreased renal function without a previous history of urinary tract infection. In females, however, high-grade reflux is rare and kidney damage almost always less severe and of the focal type, as in older children. Assessment of the bladder function with urodynamic and free voiding studies also indicates a difference between male and female reflux during infancy. Half of the males with dilating reflux initially have a hypercontractile urodynamic pattern indicating small functional capacity with high voiding pressures and often instability during filling. This pattern changes during the first couple of years to high-capacity overdistended bladders, often with incomplete emptying. In females, hypercontractility is seldom seen, but bladder function is characterized by high capacity and there is an increase in residual urine from presentation. The pathogenesis of VUR has also been suggested to differ between the sexes. Transient anatomical obstruction during fetal life has been proposed as the cause of gross VUR in males. The spontaneous resolution rate of dilating infant VUR seems to be significantly higher than in older children. A resolution of 40% of grades 4 and 5 has been reported during the first couple of years in prenatally diagnosed cases, suggesting that antireflux surgery should be postponed until after the infant year.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
Perioperative echocardiographic strain analysis: what anesthesiologists should know.Canadian Journal of Anaesthesia 2024 April 11
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app