Vesicoureteral reflux VUR

Vesicoureteral reflux
  • Facts:
    Retrograde flow of urine from bladder to the ureters and kidneys
  • Diagnosis:
    Voiding cystourethrogram (VCUG)
    Radionuclide cystogram (RNC)
  • Treatment:
    Daily prophylactic ABx until reflux resolves
    Surgery (high grade reflux)
  • Complications:
    Renal scarring
    Reflux nephropathy
  • Notes:
    Mild reflux (grades I-II)
    No ureteral or renal pelvic dilation; often resolves spontaneously

    Moderate to severe reflux (grades III-V)
    Ureteral dilation with associated caliceal blunting in severe cases
  • Associated With:
    Recurrent UTIs

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August 7th 2010