Vesicoureteral reflux is a condition that occurs in 1% to 2% of healthy children. It is more common in children with urinary tract infections. Diagnosis is usually made within 2-3 years, but can occur at any age. In some children, the disease is inherited, and sisters or brothers may be affected by the same disease. In addition, it occurs more frequently in the children of mothers who receive reflux treatment.
Urinary tract infection is a bacterial problem that affects the kidneys and bladder. Conditions in which the kidney is affected are called "Pyelonephritis" and cause a painful, sudden need to urinate.
A special test called a voiding cystourethrography (VCUG) is done to diagnose vesicoureteral reflux. This test is the process of visualizing the urinary bladder with the help of a catheter and taking a film during urination. As a result of the test, the level of the disease is clearly determined.
Accordingly, 5 is the heaviest and 1 is the lightest. In cases where the disease progresses, additional methods such as scintigraphy are required to understand whether the kidneys are affected.
In treatment, many factors such as the level of the disease, patient age, urination habits, kidney health and family history are evaluated together. The treatment decision made with the patient and his family is applied with the recommendation of the specialist physician. In the absence of kidney damage, treatment is easy and fast.
In order to prevent the risk of infection, antibiotic drug treatment is started and the patient is followed up regularly. Circumcision is recommended for boys because the closed foreskin will increase the risk of infection. Surgical operation is required in patients who do not improve with the use of antibiotics, whose infection recurs, and whose kidney functions are impaired.
The aim of the surgical operation is to eliminate the condition that causes the urine to escape to the kidney. For this, the valve between the bladder and the ureter must be repaired somehow. Today, endoscopic, that is, closed methods, are also applied. The surgical technique is preferred according to the degree of reflux, the age of the patient, whether it is unilateral or bilateral, and the experience-technical possibilities of the surgeon.
With timely medication and surgical intervention, the problem is eliminated without affecting the kidneys, and the treatment process is easier and faster than in cases where kidney problems occur. Therefore, with the diagnosis of the disease, the most appropriate treatment for the patient should be started.