CHILD SURGEON
VESICOURETERIC REFLUX (VUR)
हिंदी वीडियो
Video in English
Vesicoureteric reflux (VUR) is a condition where urine flows back from the bladder into the ureters and sometimes even up to the kidneys. It is a common condition in children, especially in infants and young children.
VUR is caused by a weakness in the valve that connects the bladder and ureters.
The main concern with VUR is that it can increase the risk of kidney infections and damage. Treatment may involve antibiotics to prevent infections, and in some cases, surgery may be necessary to correct the underlying valve problem.
Parents should be aware of the signs and symptoms of urinary tract infections in their children, such as fever, pain or burning during urination, and frequent urination. It is important to seek medical attention if these symptoms occur, as prompt treatment can prevent complications. Parents can also take steps to help prevent urinary tract infections and reduce the risk of VUR. These include encouraging your child to drink plenty of fluids, teaching them proper hygiene practices, and making sure they empty their bladder completely during each trip to the bathroom.
Surgery related
Surgery may be recommended for children with Vesicoureteral reflux (VUR) if medication and other non-surgical treatments are ineffective. The most common surgical procedure for VUR is ureteral reimplantation, where the ureters are repositioned to prevent urine from flowing back into the kidneys. The surgery is usually performed under general anesthesia and involves making incisions in the abdomen and reattaching the ureters to the bladder. Surgery can be performed by open method incision or by minimally invasive surgery. The hospital stay after surgery for open procedure may range from 7-14 days and for minimally invasive procedure can vary from 2-4 days.
Deflux/ Dexell injection is a newer modality with good success rates which can be performed without incision.
Follow up
Long-term complications of VUR can include:
Urinary tract infections: Children with VUR are at increased risk of urinary tract infections, which can lead to kidney damage and other complications if left untreated.
Kidney damage: Severe or long-standing VUR can lead to kidney damage over time, which may affect kidney function and overall health.
Hypertension: In some cases, VUR may lead to hypertension (high blood pressure), which can increase the risk of cardiovascular disease and other health problems.
However, with appropriate management and support, many children with VUR are able to overcome these challenges and lead healthy, normal lives. Treatment for VUR may include antibiotics to prevent infections, surgery to correct the reflux, or a combination of these approaches.
It is important for children with VUR to receive ongoing medical care and monitoring to ensure optimal health and well-being, as well as regular follow-up appointments with a healthcare provider to monitor progress and identify any potential issues early.