7.3.1 Secondary reflux

Diagnosis and treatment of the underlying disease are, of course, primary aspects in secondary acquired reflux. If reflux persists after successful treatment of the underlying condition, therapy of reflux is oriented with respect to clinical conditions. In order to diagnose a secondary reflux, it has to be ensured that VCUG was carried out in a non-inflammatory interval and, if necessary, repeated after clearing up the infection. Further diagnosis then proceeds according to the same rules as primary reflux.