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Grand Rounds: Management of Vesicoureteral Reflux


By Eric Massanyi, MD , Pediatric Urology, Akron Children's Hospital, Akron, OH


More about Eric Massanyi, MD

Objectives (Educational Content) :

1. Explain the clinical relevance of febrile UTIs and vesicoureteral reflux. 2. Describe treatment strategies for the workup and management of patients with vesicoureteral reflux. 3. Summarize the AUA Guidelines on the management of vesicoureteral reflux.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists and nurses.

Identified Gap:

Prompt identification and treatment of VUR in the pediatric patient will result in improved, overall health outcomes.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:


Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.


Dr. Massanyi has indicated that he has no relevant financial interest in any pharmaceutical or medical device company and does not intend to discuss any off-label uses of medications or medical devices in his presentation.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit ™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Campbell-Walsh Urology 10th Edition, Saunders

Peters C et al. Management and Screening of Primary Vesicoureteral Reflux in Children (2017) AUA Guidelines,

Massanyi EZ, Preece J, Gupta A, Lin SM, Wang MH. (2013) Utility of screening ultrasound following first febrile UTI among patients with clinically significant vesicoureteral reflux. Urology 82: 905-909.