{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T01:38:40Z","timestamp":1785893920074,"version":"3.56.0"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T00:00:00Z","timestamp":1697155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Vesicoureteral reflux (VUR) is common in children and adolescents undergoing kidney transplantation (KTx) and may adversely affect allograft kidney function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To explore the current management of symptomatic native and allograft VUR in pediatric KTx recipients, an online survey was distributed to European surgical transplant professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Surgeons from 40 pediatric KTx centers in 18 countries participated in this survey. Symptomatic native kidney VUR was treated before or during KTx by 68% of the centers (all\/selected patients: 33%\/67%; before\/during KTx: 89%\/11%), with a preference for endoscopic treatment (59%). At KTx, 90% favored an anti\u2010reflux ureteral reimplantation procedure (extravesical\/transvesical approach: 92%\/8%; preferred extravesical technique: Lich\u2010Gregoir [85%]). Management strategies for symptomatic allograft VUR included surgical repair (90%), continuous antibiotic prophylaxis (51%), bladder training (49%), or noninterventional surveillance (21%). Redo ureteral implantation and endoscopic intervention for allograft VUR were equally reported (51%\/49%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This survey shows uniformity in some surgical aspects of the pediatric KTx procedure. However, with regard to VUR, there is a significant variation in practice patterns that need to be addressed by future well\u2010designed and prospective studies. In this way, more robust data could be translated into consensus guidelines for a more standardized and evidence\u2010based management of this common condition in pediatric KTx.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14621","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T11:57:07Z","timestamp":1697198227000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Current management of symptomatic vesicoureteral reflux in pediatric kidney transplantation\u2014A European survey among surgical transplant professionals"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3661-6176","authenticated-orcid":false,"given":"Matthias","family":"Zirngibl","sequence":"first","affiliation":[{"name":"Department of General Pediatrics and Hematology\/Oncology, University Children's Hospital University Hospital T\u00fcbingen  T\u00fcbingen 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