In which patient population is Vesicoureteral reflux most commonly suspected?

In which patient population is Vesicoureteral reflux most commonly suspected?

• A. Children or neonates with UTI or fever of unknown origin
• B. Elderly with UTI
• C. Men after prostate surgery
• D. Pregnant women with UTI

Answer: (A)

Vesicoureteral reflux is most commonly suspected in children or neonates who present with a urinary tract infection or fever of unknown origin. In young patients, reflux often stems from congenital dysfunction at the vesicoureteral junction, and a febrile UTI raises concern for potential kidney involvement and long-term scarring. Because of this, clinicians routinely consider VUR and may pursue imaging, such as a voiding cystourethrogram, after a febrile UTI in a child. In adults—elderly with UTI, men after prostate surgery, or pregnant women with UTI—VUR is far less commonly the primary suspicion.

Vesicoureteral reflux is most commonly suspected in children or neonates who present with a urinary tract infection or fever of unknown origin. In young patients, reflux often stems from congenital dysfunction at the vesicoureteral junction, and a febrile UTI raises concern for potential kidney involvement and long-term scarring. Because of this, clinicians routinely consider VUR and may pursue imaging, such as a voiding cystourethrogram, after a febrile UTI in a child. In adults—elderly with UTI, men after prostate surgery, or pregnant women with UTI—VUR is far less commonly the primary suspicion.