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Vesicoureteral Reflux

What Is Vesicoureteral Reflux?

Vesicoureteral reflux occurs when urine flows back into the ureters from the bladder, rather than exiting the body through the urethra. Normally, the kidneys produce urine and send it into the ureters, and then the urine travels to the bladder. Urine exits the body from the bladder through the urethra.

When vesicoureteral reflux occurs, bacteria from the bladder can travel up into the kidneys. It can lead to kidney infection and kidney damage. In severe cases, it can lead to kidney scarring, high blood pressure and kidney failure.

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.

Symptoms

The symptoms of vesicoureteral reflux include:

  • Bladder infection – Frequent, painful urination, sudden, strong urge to urinate and urinary incontinence

  • Kidney infection – Fever, belly or lower back pain, vomiting and upset stomach

  • Urinary tract infection – Burning or pain during urination; urine that is bloody, cloudy or has an odor; fever; pain in the lower back or belly; frequent need to urinate; not being able to pass more than a few drops of urine

Treatment Options

In many children, reflux will resolve on its own by the time a child is 5 or 6, especially if it is minor. Treatment options for vesicoureteral reflux include:

  • Behavior modifications – Reminding the child to use the bathroom regularly

  • Low-dose antibiotic – To prevent urinary tract infections

  • Medications for bladder control – To help with incontinence

  • Surgery – Robotic or traditional surgery may be needed to stop reflux

Ready for an Appointment?

If you're experiencing signs or symptoms of vesicoureteral reflux, schedule an appointment or call 800-TEMPLE-MED (800-836-7536) today.

Learn more about our doctors and care team who diagnose and treat vesicoureteral reflux.