Howard M. Snyder, III, MD, is professor of surgery in urology, Children's Hospital of Philadelphia.
Treatment of VUR: The bar is raised, morbidity lowered
The treatment paradigm for vesicoureteral reflux has undergone a significant shift in recent years. Endoscopic surgery has provided an effective, minimally invasive option that is gradually eliminating the need for prolonged antibiotic use, monitoring with voiding cystourethrograms (VCUGs), and open surgery in children with most grades and forms of VUR.
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