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Vesicoureteral 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 only down from your kidneys to your bladder. Vesicoureteral reflux can be primary or secondary. Children with primary vesicoureteral reflux are born with a defect in the valve that normally prevents urine from flowing backward from the bladder into the ureters. Secondary vesicoureteral reflux is due to a urinary tract malfunction, often caused by infection.
HOW IS VESICOURETERAL REFLUX DIAGNOSED?
The most common tests used to diagnose VUR include
• Voiding cystourethrogram (VCUG). This test can show abnormalities of the inside of the urethra and bladder.
• Radionuclide cystogram (RNC). RNC is more sensitive than VCUG but does not provide as much detail of the bladder anatomy.
• Abdominal ultrasound. An abdominal ultrasound can create images of the entire urinary tract, including the kidneys and bladder.
HOW IS VESICOURETERAL REFLUX TREATED?
UTIs are usually treated with antibiotics. When antibiotics don't work Vesicoureteral reflux is considered for further treatment through surgery. Surgery for vesicoureteral reflux repairs the defect in the functional valve between the bladder and each affected ureter that keeps it from closing and preventing urine from flowing backward. Methods of surgery include:
1. Open surgery
2. Robotic assisted laparoscopic surgery
3. Endoscopic surgery
DID YOU KNOW?
It has been seen that such patients have recurring cases of UTI, which eventually risks kidney failure and fragile health for such patients.