Will primary vesicoureteral reflux in children heal on its own?

Patient's question:

My child has now been diagnosed with pediatric vesicoureteral reflux, and repeated treatments have not shown significant improvement. The child is uncomfortable, and we are very worried. We are also very concerned that it might lead to other complications. Can primary pediatric vesicoureteral reflux resolve on its own?

Doctor's answer:

The normal ureterovesical junction has a valve-like function, allowing urine to flow from the ureter into the bladder while preventing urine from flowing back from the bladder into the ureter. When this valve-like function is impaired for some reason, urine flows back into the ureter, and in severe cases, it reaches the kidneys. This phenomenon is known as vesicoureteral reflux. Since primary vesicoureteral reflux can naturally resolve with growth and development in many children, and sterile reflux does not cause kidney damage, the treatment principle for primary vesicoureteral reflux is to control infection, protect renal function, and prevent complications.

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