Vesicoureteral Reflux (VUR)
What is VUR
Vesicoureteral reflux (VUR) is a congenital condition that can affect boys or girls and occurs when a child urinates and some of the urine goes backwards up into the kidney instead of out the urethra. This condition can cause swelling of the kidney, urinary tract infection, and even kidney damage in severe cases.
How is VUR diagnosed?
This condition is diagnosed by an x-ray test called a voiding cystourethrogram where a small catheter is placed into the bladder and the bladder is filled with contrast. The child then urinates and while doing so, x-rays are taken and if contrast goes up towards the kidneys, the diagnosis is made.
How is VUR treated?
The treatment of reflux in young children often included preventative antibiotics to prevent infection as the reflux often resolves as the child grows.
If the reflux persists, a minimally invasive procedure called Deflux can be performed. During this procedure, a scope is placed into the bladder and a synthetic material call Deflux is injected under the ureter opening to prevent the reflux from occurring.
If this fails or if the reflux is too severe, a ureteral reimplantation can be performed where the ureter is dissected out and reimplanted into the bladder in such a way so that reflux no longer occurs.