Results of a Vesicoureteral Reflux Practice Pattern Survey Among American Academy of Pediatrics, Section on Pediatric Urology Members

No AccessJournal of UrologyVesicoureteral Reflux1 Sep 1998RESULTS OF A VESICOURETERAL REFLUX PRACTICE PATTERN SURVEY AMONG AMERICAN ACADEMY OF PEDIATRICS, SECTION ON PEDIATRIC UROLOGY MEMBERS FERNANDO A. FERRER, PATRICK H. McKENNA, HOWARD I. HOCHMAN, and ANTHONY HERNDON FERNANDO A. FERRERFERNANDO A. FERRER More articles by this author , PATRICK H. McKENNAPATRICK H. McKENNA More articles by this author , HOWARD I. HOCHMANHOWARD I. HOCHMAN More articles by this author , and ANTHONY HERNDONANTHONY HERNDON More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)62691-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated practice patterns among urologists managing vesicoureteral reflux, and identified areas of consensus and controversy requiring further research. Materials and Methods: A 1-page questionnaire addressing various aspects of reflux management, including screening, diagnosis, treatment and followup, was mailed to a cohort of 225 practicing urologists identified by the membership roster of the American Academy of Pediatrics, Section on Pediatric Urology. Coded returned mailers were blindly analyzed and tabulated by 2 reviewers. Questionnaires were subdivided using a coding system by decade (1970s or earlier, 1980s and so forth) of participant membership in the American Urological Association. Select questions were analyzed to determine whether time of training affected the response. Results: Of 225 surveys 155 were returned and usable (overall 60.8% response rate). General agreement exists regarding several important points in the management of vesicoureteral reflux, including evaluation of patients at the initial urinary tract infection (78.1% of respondents), use of voiding cystourethrography and ultrasound at the initial evaluation (99.4 and 96.8%, respectively), and evaluation of sibling reflux (83.2%). Certain absolute and relative indications for surgical intervention require further clarification. Various reimplantation techniques are used today, stents are not placed by the majority of practitioners and significant variations exist in the duration of postoperative hospital stay. Conclusions: Today there is substantial consensus among urologists on many issues regarding vesicoureteral reflux management. However, the areas of controversy will only be clarified by further scientific and clinical outcomes based research. References 1 : Vesicoureteral reflux and renal injury. Amer. J. Kidney Dis.1991; 17: 491. 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Google Scholar From the Department of Pediatric Urology, Connecticut Children's Medical Center, Hartford and Division of Urology, University Of Connecticut, Farmington, Connecticut© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byOrmaechea M, Ruiz E, Denes E, Gimenez F, Dénes F, Moldes J, Amarante A, Pioner G, Dekermacher S and de Badiola F (2009) New Tissue Bulking Agent (Polyacrylate Polyalcohol) for Treating Vesicoureteral Reflux: Preliminary Results in ChildrenJournal of Urology, VOL. 183, NO. 2, (714-718), Online publication date: 1-Feb-2010.Menezes M and Puri P (2009) Familial Vesicoureteral Reflux—Is Screening Beneficial?Journal of Urology, VOL. 182, NO. 4S, (1673-1677), Online publication date: 1-Oct-2009.GIEL D, NOE H and WILLIAMS M (2018) ULTRASOUND SCREENING OF ASYMPTOMATIC SIBLINGS OF CHILDREN WITH VESICOURETERAL REFLUX: A LONG-TERM FOLLOWUP STUDYJournal of Urology, VOL. 174, NO. 4 Part 2, (1602-1605), Online publication date: 1-Oct-2005.DUONG D, PAREKH D, POPE J, ADAMS M and BROCK J (2018) Ureteroneocystostomy Without Urethral Catheterization Shortens Hospital Stay Without Compromising Postoperative SuccessJournal of Urology, VOL. 170, NO. 4 Part 2, (1570-1573), Online publication date: 1-Oct-2003.CHERTIN B and PURI P (2018) Familial Vesicoureteral RefluxJournal of Urology, VOL. 169, NO. 5, (1804-1808), Online publication date: 1-May-2003.MILLER O, BLOOM T, SMITH L, Mc ALEER I, KAPLAN G and KOLON T (2018) Early Hospital Discharge for Intravesical UreteroneocystostomyJournal of Urology, VOL. 167, NO. 6, (2556-2559), Online publication date: 1-Jun-2002.PAREKH D, POPE J, ADAMS M and BROCK J (2018) OUTCOME OF SIBLING VESICOURETERAL REFLUXJournal of Urology, VOL. 167, NO. 1, (283-284), Online publication date: 1-Jan-2002.HERNDON C, FERRER F and McKENNA P (2018) SURVEY RESULTS ON MEDICAL AND SURGICAL FOLLOWUP OF PATIENTS WITH VESICOURETERAL REFLUX FROM AMERICAN ASSOCIATION OF PEDIATRICS, SECTION ON UROLOGY MEMBERSJournal of Urology, VOL. 165, NO. 2, (559-563), Online publication date: 1-Feb-2001. Volume 160Issue 3 Part 2September 1998Page: 1031-1037 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information FERNANDO A. FERRER More articles by this author PATRICK H. McKENNA More articles by this author HOWARD I. HOCHMAN More articles by this author ANTHONY HERNDON More articles by this author Expand All Advertisement PDF downloadLoading ...