Do kids outgrow VUR?

Do kids outgrow VUR?

Many children with VUR will outgrow the condition on their own. Therefore, we do not perform surgery as initial treatment in most children. Some children, however, will require surgery to correct VUR.

How long does VUR surgery last?

This procedure changes the way the ureter is attached to the bladder. The surgery takes place in the hospital while your child is asleep and pain-free. The surgery takes 2 to 3 hours.

Is VUR a birth defect?

Primary VUR is present at birth. It is caused by a defect in the development of the valve at the end of the tube that carries urine from the kidneys to the bladder (ureter). This is the most common type of VUR and is usually detected shortly after birth.

Is a Vesicostomy painful?

It can be normal for a very small amount of bleeding to occur from the stoma during stretching. Urine should drain constantly from the opening. Once in a while, the skin around the vesicostomy may become red, irritated and sore. If this happens, your doctor may give you a special medicine or ointment to treat the skin.

Is VUR genetic?

It is clear that in a large proportion of patients VUR is genetic in origin. Forty five percent of children with primary VUR are from families where at least one additional family member is affected, and often the disease occurs in two or more generations (10,14).

Is VUR surgery safe?

What are the possible complications of surgery? General anesthesia is used for the surgery, and is low risk in healthy children. The most common problems, which may occur in 1-2% of patients, include blockage (obstruction) of the ureter(s) or persistent reflux.

How is VUR surgery done?

The procedure is performed on an outpatient basis under general anesthesia. The doctor inserts a small telescope into the bladder through the urethra (the tube connects the bladder to the outside) and injects a small amount of gel-like material under the opening of the ureter.

How long is vesicostomy surgery?

The procedure usually takes one to two hours. Many children can go home several hours later, but in some cases a child will need to spend the night for monitoring. Most children have only a small amount of pain afterward.

Is VUR a disability?

The condition is usually caused by a congenital (present at birth) disability and can be passed down through families. It’s usually detected in children after they develop a urinary tract infection.

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When should I take my child to the hospital for VUR?

Based on test results, your pediatrician will decide whether your child needs to start treatment with an antibiotic either at home or in the hospital. Many children grow out of VUR over time, often by age 5. Finding VUR early and monitoring it closely with your child’s doctors–and getting treatment if needed–will help avoid any lasting problems.

What tests are done to diagnose VUR in children?

VUR is diagnosed if the liquid goes the wrong way up a ureter into a kidney. What other tests may be done in a child with VUR? Ultrasound: This test uses sound waves to create an image of a child’s kidneys and bladder. It is recommended for all infants and toddlers after their first UTI with a fever.

What are the surgical options for repair of vulvoventricular ulcer (VUR)?

Relative indications for surgical correction: Options for surgical repair of VUR include open, laparoscopic, and endoscopic techniques. Open repairs prevent reflux by increasing the length of the intravesical ureter, facilitating compression of the ureter against the detrusor muscle during bladder filling (Table 1 ).