The Management of Vesicoureteral Reflux in the Pediatric Neurogenic Bladder

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Abstract
An integrated method of management was used in 29 children with neurogenic bladders and vesicoureteral reflux. Radiological follow-up revealed that resolution or improvement of reflux occurred in 48% of the renal units managed by close observation only, 48% managed by intermittent catheterization, 75% managed by vesicostomies and 100% in which the ureters were reimplanted. As in the non-neurogenic bladder, successful management of reflux and prevention of upper tract deterioration can be achieved by conservative management as well as by ureteroneocystostomy. A protocol of management is outlined.