Urology Mythbusters: Do we need to surgically correct vesicoureteral reflux in older girls to prevent problems in a future pregnancy? [REVISION 1]

In this edition of Mythbusters we critically examine the premise that, because women with history of vesicoureteric reflux (VUR) are at higher risk of urinary tract infection (UTI) and other morbidity during pregnancy, persistent VUR in older girls should be considered an indication for surgical correction. The literature is very limited in that there are essentially no methodologically robust comparisons of pregnancy outcomes among women whose childhood VUR was or was not surgically repaired. Most of the case series and cohorts find relatively high incidence of UTI and pyelonephritis among pregnant women with a history of VUR, but there is very little to suggest that persistent VUR is itself a risk factor for infection during pregnancy.

Source: Journal of Pediatric Urology - August 22, 2019 Category: Urology & Nephrology Authors: Carolina Acu ña, Pedro-José López, María Consuelo Sierralta, Michael P. Kurtz, Caleb P. Nelson, Francisca Yankovic Tags: Editorial Source Type: research