Vesicoureteral reflux
Contents:
Description:
Vesicoureteral reflux (a synonym a veziko-ureteralny reflux) — the return current (reflux) of urine from a bladder in ureters.
Symptoms of the Vesicoureteral reflux:
Occasionally there are complaints to abdominal pains or in lumbar area to the party of defeat. But most often the vesicoureteral reflux does not prove clinically before development of pyelonephritis. The last has a characteristic clinical laboratory picture, well-known to pediatricians. In an acute phase of a disease high temperature, intoxication symptoms is noted. In analyses of urine the quantity of leukocytes increases, protein appears. In blood tests the increased level of leukocytes, the increased SOE is also defined. As a rule, pediatricians direct children with acute pyelonephritis to hospitalization after which examination on an urological profile is usually conducted.
Reasons of the Vesicoureteral reflux:
The Vesicoureteral Reflux (VR) — the disease connected with an underdevelopment or lack of a valve mechanism between an ureter and a bladder. Usually it is inborn pathology, but can have the secondary character connected with chronic inflammatory process in a bladder. As a result the infection extends to kidneys, causing a periodic recurrence of acute pyelonephritis and cicatricial changes of kidneys.
Proceeding from reflux origins, it can be differentiated on primary (disturbance of anatomy of an uretero-vesical segment) and secondary, created as a result of other inborn or acquired anomalies of urinary tract.
Refer disturbances of an arrangement of the mouth of an ureter to primary PMR.
Most often neurogenic dysfunction of a bladder or a neurogenic bladder is the reason of secondary PMR.
Treatment of the Vesicoureteral reflux:
Methods of treatment of the PMR different forms differ from each other. At primary refluxes arising against the background of anomaly of the mouth of an ureter impact on output department of an ureter (surgical or endoscopic interventions) is necessary.
At secondary PMR treatment of the diseases leading to their emergence (treatment of cystitis, bladder dysfunction, recovery of passability of an urethra) is carried out.
The form of a reflux is specified at a tsistoskopiya on a condition of mouths of ureters. Therefore for the choice of right tactics of treatment it is necessary to inspect the child in the specialized urological hospital having wide experience in the field of urological endoscopy.
