What is the significance of the Vesicoureteric reflux?
VUR causes urine to flow back up through the urinary tract, often leading to urinary tract infections. VUR can cause urinary tract infections (UTI) and, less commonly, kidney damage.
What is Vesicoureteric?
Vesicoureteral (ves-ih-koe-yoo-REE-tur-ul) reflux is the abnormal flow of urine from your bladder back up the tubes (ureters) that connect your kidneys to your bladder. Normally, urine flows from your kidneys through the ureters down to your bladder. It’s not supposed to flow back up.
Is VUR curable?
Your urinary tract is a one-way street from the kidneys down to the urethra. VUR (vesicoureteral reflux) is when the urine goes in the wrong direction back up the ureters. Newborns, infants and young children are most affected but, thankfully, VUR usually isn’t painful, long-term or incurable.
What is the surgery for urine reflux?
Vesicoureteral kidney reflux surgery, also called ureteral reimplantation, is performed to correct this condition and prevent further occurrences of VUR.
Can VUR cause kidney failure?
Continual UTIs can permanently damage the kidney When a child has VUR, urine backs up into the kidney. Sometimes the urine contains bacteria that cause a urinary tract infection (UTI). Bacteria in the kidney can lead to damage over time, which may eventually lead to kidney failure and/or high blood pressure.
How is vesicoureteral reflux diagnosed?
VUR is most often found when a child has a UTI. Reflux is found with a test called a voiding cystourethrogram (VCUG), which is an X-ray of the bladder. It takes about 15 to 20 minutes, and involves: Placing a catheter (a thin plastic tube) in the urethra.
What happens when urine backs up in kidney?
Hydronephrosis is swelling of one or both kidneys. Kidney swelling happens when urine can’t drain from a kidney and builds up in the kidney as a result. This can occur from a blockage in the tubes that drain urine from the kidneys (ureters) or from an anatomical defect that doesn’t allow urine to drain properly.
Does VUR need surgery?
VUR Grade 4-5 Children who have grade 4 and 5 reflux may require surgery. During the procedure, the surgeon will create a flap-valve apparatus for the ureter that will the urine from flowing into the kidney. In more severe cases, the scarred kidney and ureter may need to be surgically removed.
Can urinary reflux come back after surgery?
After Treatment After surgery the patient is generally in the hospital for a few days. A catheter is often used to drain the bladder during this time. Several months after the operation an X-ray is done to make sure that the operation was successful. Once the reflux is corrected, it is not likely to come back.
How long does it take to recover from VUR surgery?
This is usually in about 1 to 2 weeks. Do not allow your child to do strenuous activity for about 4 to 6 weeks, or until your doctor says it is okay.
Can VUR come back after surgery?
After surgery the patient is generally in the hospital for a few days. A catheter is often used to drain the bladder during this time. Several months after the operation an X-ray is done to make sure that the operation was successful. Once the reflux is corrected, it is not likely to come back.
Is VUR hereditary?
It is clear that in a large proportion of patients VUR is genetic in origin. Forty five percent of children with primary VUR are from families where at least one additional family member is affected, and often the disease occurs in two or more generations (10,14).