We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Vesicoureteral Reflux

Karl R. Herwig, MD
JAMA. 1972;221(7):714. doi:10.1001/jama.1972.03200200060024.
Text Size: A A A
Published online


To the Editor.—  The article by Schmidt, Hawtry, Flocks, and Culp "Vesicoureteral Reflux, An Inherited Lesion," (220:821, 1972) does not seem to clarify the already cloudy picture. The evidence presented to prove the hypothesis is tenuous and circumstantial. That the patients were related, had urinary tract infection, and vesicoureteral reflux raises the possibility that the vesicoureteral reflux could be inherited, but no further evidence is presented to substantiate the conclusion. From the evidence presented, one could also conclude that vesicoureteral reflux is secondary to urinary tract infection, since all patients were found to have their reflux after a urinary tract infection. In addition, using the same reasoning, one could make the conclusion that cigarette smoking is inherited.Before concluding that something is inherited, all possible factors must be considered. None of the patients had reflux discovered at birth but only after urinary tract infection. The observation that the vesicoureteral reflux


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.