Purpose of Review <p>It has become clear that the screening algorithm for vesicoureteral reflux (VUR) discovery and treatment have changed in recent years, but perfecting the algorithm for those who receive screening with VCUG is still an ongoing target. According to current American Urological Association (AUA) Guidelines, if bladder/bowel dysfunction (BBD) is detected, the initial step of treatment of their comorbid BBD should take precedence before any surgical intervention is indicated.</p> Recent Findings <p>However, there has not been a consensus on how to properly manage patients with primary VUR and BBD as this relationship is complex and not well understood. In this article, we seek to focus on further investigating the detection and effective treatment for pediatric voiding dysfunction in those with VUR.</p> Summary <p>Specifically, we explore the identification of pediatric constipation and common treatment regimens by conducting a review of the current literature showing the impact management of BBD has on VUR spontaneous resolution rates, management success and complications in those receiving continuous antibiotic prophylaxis (CAP) and/or surgical treatment for VUR.</p>