Vesico Ureteric Reflux - Dr. Bhavesh Doshi, Pediatric Surgeon

Case No. 12: Vesico Ureteric Reflux

• The pathological return of urine from the bladder into the ureters is called VESICO URETERIC REFLUX( VUR).
• Child presents with repeated episodes of urinary tract infection( UTI). Confirmed by urine routine and urine culture.
• Micturating cystourethrogram (MCUG) is the investigation of choice, where urine is seen going into the ureters. DMSA scan is done to see renal scarring and function.
• Chemoprophylaxis is continued till 5yrs for the reflux to resolve spontaneously.
• If reflux persists beyond 5 years it is treated with Ureteric reimplantation.
• If UTI occurs while on chemoprophylaxis or renal scarring increases, surgical management is indicated irrespective of the age.