Vesicoureteral Reflux (VUR) – Accurate Diagnosis & Safe Management by Dr. Premkumar K

Vesicoureteral Reflux (VUR) is a condition in which urine flows backward from the bladder into the ureters and kidneys. This can lead to recurrent urinary tract infections, kidney swelling, and long-term kidney damage. Dr. Premkumar K, a specialist in Paediatric & Reconstructive Urology, provides advanced diagnostic evaluation and tailored treatment options to protect kidney function and ensure healthy urinary development.

• What Causes VUR? – Weakness or abnormal positioning of the valve between the bladder and ureter allows urine to flow back toward the kidneys, especially during bladder contraction.

• Common Symptoms – Recurrent UTIs, fever without cause, foul-smelling urine, pain during urination, bed-wetting, abdominal pain, and poor weight gain in young children.

• Diagnostic Evaluation – Ultrasound abdomen, MCU (Micturating Cystourethrogram), DMSA renal scan, urine culture, and bladder function assessment to determine reflux grade and kidney impact.

• Grading of VUR – Ranges from Grade I (mild) to Grade V (severe). Treatment depends on the grade, child’s age, and kidney health.

• Medical Management – Low-dose antibiotics to prevent infections, bladder training, hydration guidance, and regular monitoring for spontaneous improvement in mild-to-moderate cases.

• Endoscopic Treatment – Minimally invasive injection therapy (Deflux) to strengthen the bladder-ureter valve mechanism, commonly performed for persistent or moderate-grade reflux.

• Surgical Correction – Ureteric reimplantation for high-grade reflux or when kidney function is affected. Provides a long-term solution by creating a stronger anti-reflux valve.

• Long-Term Outlook – With early intervention, long-term kidney damage can be prevented, urinary infections reduce significantly, and bladder function improves with age.

With precise evaluation and child-friendly treatment methods, Dr. Premkumar K ensures effective management of VUR, protecting kidney health and improving your child's overall urinary function.

If your child experiences recurrent UTIs or symptoms of reflux, early diagnosis is essential. Consult Dr. Premkumar K for specialized Paediatric Urology evaluation and personalized treatment.