Surgical management of vesicoureteral reflux in children

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Surgical management of vesicoureteral reflux in children

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What is the success rate of endoscopic injection for treatment of VUR

a. 30-40%
b. 50-60%
c. 70-80%
d. 90-95%

What is the risk of renal scarring following first UTI

a. 5%
b. 10%
c. 15%
d. 25%

All of the following are recommendations based on the 2010 AUA guidelines for the treatment of VUR, except:

a. A VCUG should be performed following a febrile UTI in a child with prior successful endoscopic treatment
b. Surgical correction is recommended for patients on antibiotic prophylaxis with febrile break-through UTI
c. Either endoscopic or open repair of VUR are acceptable options for surgical correction
d. Endoscopic injection is effective for the treatment of grade 5 VUR

The only factor which has been demonstrated to significantly influence DHA injection success rate is:

a. Surgeon experience
b. Pre-operative VUR grade
c. Injection volume
d. Conflict of interest

Which of the following is not true of endoscopic treatment of reflux:

a. Entails injection of a bulking agent, allowing coaptation of the ureteral orifice
b. Sub-ureteral and intraureteral injection techniques have been described
c. Presence of bladder and bowel dysfunction does not affect the cure rate
d. Benefits include outpatient surgery and decreased patient morbidity

Tags: Urinary Tract Disorders