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ISSN 0973 - 0958
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VESICO URETERAL REFLUX (VUR)
Continued...
Q11) Is MCU the only way to detect VUR or are there other ways also?
A11) Initially MCU is the only way to diagnose VUR. Other methods like Doppler USG are not very accurate and cannot grade VUR properly
Q11) Is MCU the only way to detect VUR or are there other ways also?
A11) Initially MCU is the only way to diagnose VUR. Other methods like Doppler USG are not very accurate and cannot grade VUR properly
Q12) When would surgery be required? What is the surgery?
A12) Surgery for VUR is indicated if long term antibiotic therapy fails to control UTI, or VUR is grade IV-V or child does not take medicines and mother is apprehensive about the complications of VUR.
Surgery repairs the defect by forming a tunnel through bladder wall and creating a new opening for the ureter/s which will stop regurgitation of urine towards the kidneys.
Q13) Will my child have any problems as an adult?
A13) As a rule if VUR is diagnosed before urinary tract infection occurs or if recurrent UTI is prevented by medications or if VUR is surgically corrected, no major problems are expected as an adult.
Q14) How often should I go to my doctor if my child has VUR?
A14) Yearly follow up with weight, height, BP, urine examination, renal function tests are needed even if the child has no symptoms till he/she grows upto 20-25 years of age.
Q15) Can stones cause VUR?
A15) No stones do not cause VUR unless they cause obstruction of bladder.
Q16) Is there any other intervention (dietary etc.) that can help?
A16) No dietary intervention helps in treatment of VUR.
Q17) My child has VUR. What is the prognosis?
A17) Prognosis is good if prompt diagnosis, appropriate drug therapy and timely surgery is performed when needed. Long-term follow up is essential without defaulting to get good outcome of VUR.
Last created on 04-12-2001
Last updated on 18-11-2006
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