VESICOURETERAL REFLUX IN CHILDREN

The vesico-ureteral reflux is the most frequent uropathy in children. The diagnosis is made by urethrocystography, often after pyelonephritis, sometimes after antenatal diagnosis from echographic abnormalities. Spontaneous recovery is possible in 50 to 80% of cases. This is especially true in grade 1, 2 and 3, however complications may occur. They are more frequent in the case of reflux nephropathy with a resulting risk of hypertension and chronic renal failure. The therapeutic choice is between the conservative management with urinary antiseptics and the surgical treatment with ureters reimplantation or endoscopic treatment The therapeutic indications take into account vesicoureteral reflux grades, the child's age, the associated diseases and the child's and parents' compliance.