PURPOSE OF REVIEW Vesicoureteral reflux (VUR) management has been steadily evolving over the last several years. There is not a definitive algorithm for operative intervention, but there are some recognized patterns to follow when caring for this patient base. It is extremely relevant to review the rationale behind practice patterns as both literature and clinical practice are dynamic. RECENT FINDINGS VUR is a common malady that is emotionally, physically, and financially draining for families. As new treatment options emerge with minimally invasive techniques and older methods are re-explored, it is imperative to re-evaluate care strategies. This article reviews the mainstays of treatment in addition to newer therapeutic modalities. SUMMARY The decision to operate on any patient, particularly pediatric patients, must be preceded by sound clinical judgment. Thoughtful planning must be utilized to ensure every patient receives individualized and up-to-date VUR management. This article reviews indications for surgical intervention to consider when managing these patients.

中文翻译：

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儿童膀胱输尿管反流的手术治疗的手术指征。

审查的目的近几年来，输尿管反流（VUR）管理一直在稳步发展。没有确定的手术干预算法，但是在照顾这个患者群体时，有一些公认的模式可以遵循。由于文献和临床实践都是动态的，因此回顾实践模式背后的基本原理极其重要。最近发现VUR是一种常见的疾病，会给家庭造成精神上，身体上和财务上的消耗。随着采用微创技术的新治疗方法的出现以及对旧方法的重新探索，必须重新评估护理策略。除了较新的治疗方法外，本文还介绍了治疗的主要内容。总结对任何患者，特别是小儿患者进行手术的决定，必须先进行正确的临床判断。必须采取周到的计划，以确保每个患者都得到个性化和最新的VUR管理。本文回顾了在管理这些患者时应考虑的手术干预适应症。