Normally, the urinary ducts enter the bladder through a tunnel through the muscle layer. This structure acts as a valve (valve). Thus, urine coming to the bladder is prevented from flowing back towards the ureter and kidney. The backflow of urine from the bladder to the kidneys due to the defect in this valve is called vesicoureteral urine. This may cause infection and serious damage to the kidney.
The valve that prevents vesicoureteral reflux is congenitally defective in some children. Sometimes it develops as a result of some diseases that cause high pressure in the normally developed bladder and disrupt this valve.
The clinical course of vesicoureteral regurgitation is very variable. It may go away completely on its own, or it may cause kidney failure. The age of the child, the degree of reflux and the cause of reflux are effective in this.
If vesicoureteral reflux is not treated timely and correctly, serious kidney damage and kidney failure develop. Children with wide canals should be examined in terms of reproductivity. Because 40% of them have underlying vesicoureteral reflux. VUR itself does not cause any complaints. It is the urinary infection examination that provides the diagnosis. In children who develop urinary infections, voiding cystourethrography is performed to diagnose the underlying cause. If there is reflux, scintigra may be required to show how well the kidneys are working.
If vesicoureteral reflux is not treated timely and correctly, serious kidney damage and kidney failure will develop.
If reflux has developed as a result of a congenital defect, it is diagnosed at an early age. If there is no additional problem, it does not cause a urinary infection and it is not high-grade, it may resolve on its own. These can be resolved without surgery within 3-4 years as a result of regular follow-up.
Children who do not improve by waiting and who develop urinary infection or kidney damage despite antibiotics require surgery. Since the bladder is not yet well developed in 1-year-old children, reflux is eliminated by closed surgery by narrowing the wide and burst valve that causes regurgitation with special needles. In children who do not improve with this surgery, the end of the urinary tract is passed through a tunnel of sufficient length and sewn to the bladder in a larger surgery. Thus, the valve is created.
However, it may develop as a result of other diseases. If an attempt is made to treat the affected reu without correcting the actual disease, both all kinds of medical treatments and all kinds of surgeries will fail. However, if the disease causing reflux is treated, reflux may resolve spontaneously.
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