How to Detect Vesicoureteric Reflux in Children? - Abstract
The development in detecting and follow-up of Vesico Ureteric Reflux (VUR) has gone in two directions: first, for whom and when it is important to detect VUR and, second, introducing new techniques for its detection.
In this review article, we first discuss bottom-up (looking for VUR in each child), and top-down (looking for VUR only in those in whom scars have been detected) approaches for VUR detection. We strongly believe that regardless of which approach one finds closer to one’s opinion, there should nevertheless be a general agreement that the ongoing search for user-friendly investigations should be an imperative in taking care of the children in question.
In the second part of this review article we discuss various catheter-using methods for VUR detection. The grading of VUR by these different methods is shown. Catheter-free methods for VUR detection are also presented, where Color Flow Doppler ultrasonography and Ureteric jet Doppler Waveform measurement seems to be the most promising.