PTU - Polskie Towarzystwo Urologiczne
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Vesico-ureteral reflux – a disease or sign?
Article published in Urologia Polska 2008/61/1.


Małgorzata Baka-Ostrowska
Klinika Urologii Dziecięcej Instytutu „Pomnik – Centrum Zdrowia Dziecka” w Warszawie


urinary bladder, ureter, vesico-ureteral reflux, subvesical obstruction, voiding disturbances


Introduction Vesico-ureteral reflux is commonly understood as a consequence of uretero-vesical junction pathology and treated according to this policy with antireflux procedure or endoscopic injections. Is it really a good option?

The aim of the study To define the character of pathology and to choose the best therapeutic option. Material and method. Review of the literature was done to answer the question: if vesico-ureteral reflux is a pathology itself or is it a sign of pathology, which should be treated according to the cause. The old, classic and new opinions were evaluated.

Results It is obvious now, that vesico-ureteral reflux is a sign of many different pathologies. The most common are bladder function disturbances due to functional or anatomical subvesical obstruction.

Conclusions Vesico-ureteral reflux is a sign of pathology but not a pathology itself. The treatment should drive the bladder function improvement and spontaneous resolution of reflux will most likely come.


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Małgorzata Baka-Ostrowska
Klinika Urologii Dziecięcej IP-CZD
Al. Dzieci Polskich 20
04-730 Warszawa
tel. (022) 815 13 50