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December 11, 2025Journal of Indian Association of Pediatric SurgeonsOpen Access

Bladder Dysfunction in Children with Primary Vesicoureteral Reflux: Do We Need to Change Indications for Surgery?

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Authors

MVMuni VarmaKing George's Medical UniversitySASatish Kumar AggarwalSir Ganga Ram HospitalAPAlpana PrasadSir Ganga Ram Hospital

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Implication

Prospective study shows bladder dysfunction affects surgery indications in children with primary vesicoureteral reflux, suggesting urodynamics may refine treatment approaches.

Key Points

  • This study aims to investigate bladder dysfunction in children with primary vesicoureteral reflux (VUR).
  • Prospective study of 86 children with primary VUR over 2 years
  • Bladder dysfunction assessed using urodynamic study and noninvasive methods
  • Classification included underactive bladder, overactive bladder, and significant postvoid residue.
  • 41.8% of children with primary VUR exhibited bladder dysfunction
  • 85.7% improvement in bladder function observed post-surgery in patients with bladder dysfunction
  • 100% improvement in non-toilet-trained children who underwent surgery.

Cite This Study

Varma et al. (2025) studied this question.

synapsesocial.com/papers/694019342d562116f28f6d37https://doi.org/10.4103/jiaps.jiaps_146_25
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1One thousand video‐urodynamic studies in children with non‐neurogenic bladder sphincter dysfunction2001 · 171 citations
  2. 2The Standardization of Terminology of Lower Urinary Tract Function in Children and Adolescents: Report from the Standardisation Committee of the International Children’s Continence Society2006 · 1,291 citations
  3. 3Vesico-Ureteral Reflux in the Paraplegic: Cause and Correction1952 · 231 citations
  4. 4THE DYSFUNCTIONAL VOIDING SCORING SYSTEM: QUANTITATIVE STANDARDIZATION OF DYSFUNCTIONAL VOIDING SYMPTOMS IN CHILDREN2000 · 412 citations
  5. 5Vesicoureteral Reflux2008 · 177 citations