Vesicoureteral Reflux (VUR)

Vesicoureteral Reflux (VUR)

Vesicoureteral Reflux (VUR) is a condition in which urine flows backward from the bladder into the ureters and sometimes up to the kidneys. This abnormal flow increases the risk of urinary tract infections (UTIs) and kidney damage over time. VUR is more common in children and can be present at birth (primary VUR) or develop later due to urinary tract obstructions or bladder dysfunction (secondary VUR). Early diagnosis and treatment are crucial to prevent complications such as kidney scarring.

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What Causes It?

Defective ureterovesical valve: The valve between the ureter and bladder fails to close properly during urination.

Short ureteral tunnel: The ureter enters the bladder at a shallow angle, making the valve mechanism weak.

Genetic predisposition: Family history of VUR increases the likelihood of the condition in children.

Incomplete bladder development in infants: Immature urinary tract structures present at birth.

Urinary tract obstruction: Blockages in the urethra or bladder increase bladder pressure and push urine backward.

Neurogenic bladder: Nerve damage from spinal cord defects or injuries causing poor bladder control.

Chronic bladder infections: Repeated infections can weaken the valve and ureter function.

Bladder dysfunction: Overactive bladder or incomplete bladder emptying leads to urine reflux.

Urethral valves in boys: Abnormal folds of tissue in the urethra blocking urine outflow.

Post-surgical changes: Scar tissue or structural changes after urinary tract surgeries.

Signs & Symptoms

Recurrent urinary tract infections (UTIs)

Fever and chills

Pain during urination

Frequent urination

Bedwetting in children

Blood in urine (hematuria)

Abdominal or flank pain

How We Diagnose

Our specialists use advanced diagnostic methods to accurately identify and assess your condition

Urinalysis

Detects infection, blood, or abnormal substances in urine.

Voiding Cystourethrogram (VCUG)

X-ray imaging of the bladder and urethra during urination to check urine flow direction.

Renal Ultrasound

Uses sound waves to visualize kidneys and bladder for structural abnormalities.

DMSA Scan

A nuclear imaging test to check kidney function and detect scarring.

Treatment Options

Personalized treatment plans tailored to your specific needs and condition

1

Antibiotic Prophylaxis

Low-dose antibiotics to prevent recurrent UTIs in mild cases.

2

Watchful Waiting

Monitoring for spontaneous resolution in children as they grow.

3

Bladder Training

Timed voiding and hydration to reduce bladder pressure.

Home Remedies

Adequate Hydration

Drinking enough water to flush bacteria from the urinary tract.

Frequent Urination

Encouraging children to urinate regularly to prevent urine buildup.

Proper Hygiene

Wiping from front to back to prevent bacterial spread.

Prevention Tips

Treat urinary tract infections promptly

Encourage regular bathroom habits in children

Maintain proper genital hygiene

Monitor kidney function in diagnosed cases

Surgical Solutions

Advanced surgical procedures performed by our expert specialists

Ureteral Reimplantation

Surgical repositioning of the ureter to ensure proper one-way urine flow.

Endoscopic Injection

Injection of bulking material near the ureter’s bladder opening to improve valve function.

Bladder Augmentation (Augmentation Cystoplasty)

Recommended in severe bladder dysfunction cases, where the bladder size is increased using bowel tissue to reduce pressure and prevent reflux.

Urethral Valve Ablation

In male children with posterior urethral valves causing VUR, this procedure removes the abnormal tissue to restore normal urine flow.

Boari Flap Reconstruction

Used in rare complex cases where the lower ureter is severely damaged, reconstructing it with a flap from the bladder wall.

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