Was ist Vesikoureteraler Reflux?

What is Vesicoureteric reflux?

Vesicoureteral (ves-ih-koe-yoo-REE-tur-ul) reflux is the abnormal flow of urine from your bladder back up the tubes (ureters) that connect your kidneys to your bladder. Normally, urine flows from your kidneys through the ureters down to your bladder.

What causes vesicoureteral reflux in adults?

Secondary VUR: The most common cause of secondary VUR is a blockage by a tissue or narrowing in the bladder neck or urethra. These problems cause urine to back up into the urinary tract instead of exiting through the urethra.

How is vesicoureteral reflux diagnosed?

Diagnosing Vesicoureteral Reflux

Reflux is diagnosed using an x-ray called a voiding cystourethrogram (VCUG), or a nuclear cystogram. Both tests involve a urinary catheter (tube) placed into the child's bladder to fill the bladder with x-ray dye or radioactive material.

How to treat urinary reflux?

Doctors can use surgery to correct your child's reflux and prevent urine from flowing back to the kidney. In certain cases, treatment may include the use of bulking injections. Doctors inject a small amount of gel-like liquid into the bladder wall near the opening of the ureter.

Does VUR require surgery?

Anti-urinary reflux surgery is done to stop urine from going back into the kidney after it reaches the bladder. This condition is called vesicoureteral reflux. Most children with reflux do not need surgery as they may eventually outgrow the reflux.

When is surgery needed for VUR?

VUR Grade 4-5

Children who have grade 4 and 5 reflux may require surgery. During the procedure, the surgeon will create a flap-valve apparatus for the ureter that will the urine from flowing into the kidney. In more severe cases, the scarred kidney and ureter may need to be surgically removed.

Does vesicoureteral reflux go away?

Your treatment will depend on that score as well as your overall health. The lower the score is, the more likely the reflux will go away on its own. This is why your doctor may take a wait-and-see approach. Children often outgrow VUR as the valve between their bladder and ureter gets longer with age.

Can a child grow out of vesicoureteral reflux?

Kids with mild cases of VUR often don't need treatment. Those with more serious symptoms might need to take antibiotics to prevent infection. Kids who have infections and fevers along with the VUR might need surgery. But most kids don't have serious symptoms and outgrow the condition with no lasting problems.

Can urine reflux be cured?

This type of surgery usually requires a few days' stay in the hospital, during which a catheter is kept in place to drain your child's bladder. Vesicoureteral reflux may persist in a small number of children, but it generally resolves on its own without need for further intervention.

What are the symptoms of urinary reflux?

Symptoms of Urinary Reflux

Urinary reflux itself does not cause symptoms. But children may have symptoms if a urinary tract infection develops. Then children may have fever, may have pain in their abdomen or back, and may urinate more than normal or have burning when they urinate.

Do kids grow out of VUR?

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 is the most serious complication of urinary reflux disorder?

The most serious complication is renal, or kidney, damage. Kidney scarring can result in permanent kidney damage, if a UTI is left untreated. Renal scarring is also known as reflux nephropathy. Hypertension, or high blood pressure, may result if the kidneys do not work properly.

How common is urinary reflux?

About 1-3% of all infants and children have a condition called vesicoureteral reflux (VUR), which means some of their urine flows in the wrong direction after entering the bladder.

When should you suspect vesicoureteral reflux?

VUR is most often diagnosed after a child has experienced a UTI accompanied with a fever. Some children are also diagnosed shortly after birth if they had hydronephrosis (fluid in the kidneys) on their prenatal (before birth) ultrasounds. Common symptoms of UTI in children include: fever.

Is VUR a birth defect?

Vesicoureteral reflux (VUR) is the retrograde flow of urine from the bladder into the upper urinary tract and it is the most common urological anomaly in children. Primary VUR is a congenital condition caused by the abnormal development and malfunction of the ureterovesical junction (UVJ).

Does reflux cause kidney damage?

About 50 percent of babies and 30 percent of older children with infections will have reflux. The back flow of urine to the kidney can cause a urinary infection to spread to the kidney, which can make your child very sick and can lead to kidney damage. You may notice that your child: goes to the bathroom more often.

Do babies outgrow VUR reflux?

Kids with mild cases of VUR often don't need treatment. Those with more serious symptoms might need to take antibiotics to prevent infection. Kids who have infections and fevers along with the VUR might need surgery. But most kids don't have serious symptoms and outgrow the condition with no lasting problems.

What organs are affected by reflux?

Gastroesophageal reflux disease, or GERD, is a digestive disorder that affects the ring of muscle between your esophagus and your stomach. This ring is called the lower esophageal sphincter (LES). If you have it, you may get heartburn or acid indigestion.

What is the safest antacid to take long term?

According to Dr. Ghouri, Prilosec OTC “is usually sufficient in controlling symptoms in a majority of [heartburn] cases” and has been the #1 Doctor Recommended frequent heartburn relief medicine for 14 years.

How serious is kidney reflux in babies?

VUR can be mild or more serious. It can cause mild reflux, when urine backs up only a short distance in the ureters. Or it can cause severe reflux leading to kidney infections and permanent kidney damage. Your child's healthcare provider may assign a grade from 1 to 5 to show the degree of reflux.

What are the root causes of reflux?

Eating large meals or eating late at night. Eating certain foods (triggers) such as fatty or fried foods. Drinking certain beverages, such as alcohol or coffee. Taking certain medications, such as aspirin.

What cancers cause reflux?

While esophageal adenocarcinoma is the most common type of cancer that's related to heartburn, another concern individuals who suffer from chronic heartburn worry about is squamous cell carcinoma which usually develops in the middle and upper sections of the esophagus.

What acid reflux medicine can you take everyday?

Acid reflux medications are designed to be taken every day to decrease the amount of acid made by the stomach and thus having less acid backing up into the esophagus.
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Proton Pump Inhibitors for Consistent Acid Reflux

• Omeprazole (Prilosec, Zegerid)
• Lansoprazole (Prevacid)
• Esomeprazole (Nexium)
• Dexlansoprazole (Dexilant)

What can I take instead of omeprazole?

• Famotidine.
• Protonix.
• Prilosec.
• Dexilant.
• Prilosec OTC.
• Aciphex.