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학습 자료 둘러보기 →The primary trigger for investigating vesicoureteral reflux (VUR) in a child is a history of recurrent febrile UTIs. The retrograde flow of urine prevents complete bladder emptying, creating a reservoir for bacterial growth and ascending infection.
Diagnosis is confirmed via voiding cystourethrogram (VCUG). Management aims to prevent renal scarring and ranges from continuous antibiotic prophylaxis to surgical correction (ureteral reimplantation) for high-grade reflux.
A palpable abdominal mass or acute hypertension are late or unrelated findings. Do not wait for these to develop; a history of recurrent UTIs, particularly with fever, is the key early indicator for VUR screening in children under 5 years.
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