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Vesicoureteral Reflux (VUR) Treatment

Treatment of urine flowing back from the bladder to the kidney.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Vesicoureteral Reflux (VUR) Treatment?

Vesicoureteral reflux (VUR) is the backflow of urine from the bladder into the ureter and kidney. It is the most common urological anomaly in children and the most important predisposing factor for urinary tract infections. It is graded I-V according to the international classification.

Primary VUR results from a congenital deficiency of the antireflux mechanism at the ureterovesical junction. Secondary VUR is due to underlying pathologies such as posterior urethral valves, neurogenic bladder, or bladder outlet obstruction.

About 80% of low-grade reflux (I-III) resolves spontaneously during childhood. High-grade reflux (IV-V), recurrent febrile urinary tract infections, and renal scarring are surgical indications.

Symptoms

Recurrent urinary tract infections (especially febrile)
Prenatal hydronephrosis (detected on ultrasonography)
Febrile urinary tract infections in children
Renal scarring on DMSA scintigraphy
Renal function impairment (in bilateral high-grade VUR)

Risk Factors

Renal scarring and reflux nephropathy
Loss of renal function (in bilateral high-grade VUR)
Postinjection obstruction (transient)
Persistent or contralateral reflux after surgery
Hypertension (as a result of reflux nephropathy)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When recurrent urinary tract infections develop in a child
  • When prenatal hydronephrosis is detected on ultrasonography
  • When VUR is diagnosed by VCUG (voiding cystourethrogram)
  • If infections continue despite antibiotic prophylaxis

Treatment Methods

01
Antibiotic prophylaxis (low-grade with expected spontaneous resolution)
02
Endoscopic subureteral injection (STING/HIT, Deflux)
03
Ureteroneocystostomy (surgical reimplantation)
04
Robotic ureteroneocystostomy
05
DMSA scintigraphy for renal scar follow-up

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.