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Home >> Pediatric Urology >> Vesicoureteral Reflux >> Treatment
Vesicoureteral Reflux - Treatment
Overview | Diagnosis | Treatment | FAQ
Renal damage can occur if VUR causes a kidney infection, especially during the first 5 years of life. Therefore, children with VUR are usually treated with a low dose of daily antibiotics until VUR resolves or has been successfully treated. Lower grades of reflux have a good chance of resolving without further intervention. Definitive treatment of VUR, though, is recommended if a child has recurrent infections despite suppressive antibiotics; if the kidney experiences progressive scarring or fails to develop normally; or if the severity of the reflux makes spontaneous resolution unlikely.
VUR can be successfully corrected with surgical intervention. A minimally invasive outpatient procedure can correct VUR by injecting biocompatible bulking material (e.g.,Deflux®) beneath the ureteral opening to elevate a flap and thereby increase ureteral resistance. This procedure, which takes 15 – 30 minutes, is generally performed under general anesthesia. The success rate is around 70-85%. Alternatively, the ureter can be repositioned surgically to create additional ‘backing’ and thereby increase ureteral resistance to reflux. This procedure can be done by opening the bladder and creating a new tunnel for the ureter (s) or by tucking the ureter (s) in a new pocket against the outside of the bladder. The success rate of surgically repositioning the ureter is 98%.
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