Editorial comment on: The role of endoscopic treatment in the management of grade V primary vesicoureteral reflux.

摘要

Vesicoureteral reflux (VUR) is not a disease in and of itself but is rather a symptom that must be interpreted in the context of the entire urinary tract. The approach to each child has to consider the child's gender, reflux grade, age, kind of presentation (urinary tract infection [UTI], sibling screening, antenatal diagnosis), renal status, spon- taneous resolution, and compliance with treatment. Purl and Menezes highlight the possibility of considering endoscopic treatment as the first-line therapeutic option for primary grade V VUR since they report complete resolution of VUR or downgrading to grade I or II after a single injection in 53% and 15.7% of ureters, respectively .