41. CHS ~ 1998 Questions And Answers: Pediatric Urology: Vesicoureteral Reflux 1998 Questions and Answers. Pediatric Urology vesicoureteral reflux(21). Question My 7 year old son Camden has been diagnosed with http://www.coloradohealthsite.org/chnqna98.html?Pediatric Urology?Vesicoureteral

42. Re: Vesicoureteral Reflux Subject Re vesicoureteral reflux Forum The Urology Forum Topic Area PediatricUrology Posted by HFHS MDJL on March 17, 1999 at 062815 In Reply to http://www.medhelp.org/forums/urology/archive/3850.html

Advertisement Welcome to Med Help! Questions in The Urology Forum are being answered by doctors from Henry Ford Health System , consistently ranked one of the best hospitals in America. Subject: Re: Vesicoureteral Reflux Forum: The Urology Forum Topic Area: Pediatric Urology Posted by HFHS M.D.-JL on March 17, 1999 at 06:28:15: In Reply to: Vesicoureteral Reflux posted by Lori on March 11, 1999 at 15:46:11: : I was diagnosed with a vesicoureteral reflux at the age 2 and a half. I had a grade four and have severe scarring on my right kidney. My 3 anmd a half old daughter has her first Urinalysis which shows blood in her urine. Her doctor is concerned about her developing my reflux and has sceduled a follow-up urinalyisis for next week. If that has positive results we will go for the rest of the testing. My question is, can she be "developing" reflux ( in other words is this genetic)? I also have a 12 month old son, should we be looking at him too if it is genetic whether or not my daughter has it? Please help me with this, I am frightened because of my past history and experience. Dear Lori

43. Re: Vesicoureteral Reflux Subject Re vesicoureteral reflux Forum The Urology Forum Topic Area PediatricUrology Posted by HFHS MDKR on March 30, 1999 at 092201 In Reply to http://www.medhelp.org/forums/urology/archive/3940.html

Advertisement Welcome to Med Help! Questions in The Urology Forum are being answered by doctors from Henry Ford Health System , consistently ranked one of the best hospitals in America. Subject: Re: vesicoureteral reflux Forum: The Urology Forum Topic Area: Pediatric Urology Posted by HFHS M.D.-KR on March 30, 1999 at 09:22:01: In Reply to: vesicoureteral reflux posted by staci porter on March 02, 1999 at 14:06:04: : ANyway, the specialist just called and wants her to get the surgery. After reading all the questions and all the literature I am not sure about the surgery. Her reflux isnt that severe, but she is getting a lot of uti's. Wouldnt it seem more wise to try swithching the propholactic dose, since sulfa doesnt even seem like a common one used in this instance? ALso should the original ultrasounds havebshown something? The ultrasound at children's picked it up so quickly. One last question. Twice, when my daughter got the stomach flu, she was hospitalized for dehydration while my other son got through it just fine. I know this is stretching it, but could there be any correlation with reflux that makes her prone to dehydration in stressful situations like that? : Thank you for your time and I look forward to hearing your response

44. The Presence And Grade Of Vesicoureteral Reflux Is Not Influenced By The Timing The Presence and Grade of vesicoureteral reflux is Not Influenced by theTiming of the VCUG One Week After Acute Symptomatic UTI. Question. http://www.med.umich.edu/pediatrics/ebm/cats/vur2.htm

Evidence-Based Pediatrics Web Site The Presence and Grade of Vesicoureteral Reflux is Not Influenced by the Timing of the VCUG One Week After Acute Symptomatic UTI Question Does the timing of VCUG significantly affect the results to warrant placing a child with a first symptomatic UTI on prophylactic antibiotics for 4-6 weeks until vesicoureteral reflux can be ruled out? Clinical Bottom Lines There are no human studies to support the teaching that urine infection with inflammation surrounding the vesicoureteric junction will cause transient vesicoureteral reflux, or increase the severity of the baseline vesicoureteral reflux; and, therefore, it has not been established that performing the VCUG 4-6 weeks after first symptomatic UTI will prevent false positives necessitating long term uroprophylaxis. In pediatric patients grouped according to the timing of the VCUG's, there was no evidence of an association between the timing of the VCUG after urinary tract infection and vesicoureteral reflux (chi squared = 0.58, p = 0.5: odds ratio 0.93, 95% confidence interval 0.76 to 1.12).

45. Loyola Univ. Health Sys. - Urology - Vesicoureteral Reflux vesicoureteral reflux. What is vesicoureteral reflux (VUR)? Vesicoureteralreflux occurs What causes vesicoureteral reflux? There are many http://www.luhs.org/health/topics/urology/vesicour.htm

You are here: Home Health Information Health Topics Urology Vesicoureteral Reflux What is vesicoureteral reflux (VUR)? Vesicoureteral reflux occurs when urine that dwells in th e bladder flows back into the ureters and often back into the kidneys. The bladder is the hollow, muscular organ that stores urine before urination occurs. The bladder has three small openings: two connect the ureters where urine is drained down from the kidneys, and one connects the bladder to the urethra where urine exits the body. The ureters are funnel-shaped tubes that carry urine from the kidneys. Ureters enter the bladder at a diagonal angle and have a special one-way valve system that normally prevents urine from flowing back up the ureters in the direction of the kidneys. When a child has vesicoureteral reflux, the mechanism that prevents the back-flow of urine does not work, allowing urine to flow in both directions.

46. Vesicoureteral Reflux vesicoureteral reflux. vesicoureteral reflux (VUR) refers to a condition in whichurine flows from the bladder, back up the ureter, and back into the kidneys. http://www.chclibrary.org/micromed/00070240.html

Main Search Index Definition Description Causes ... Resources Vesicoureteral reflux Definition Vesicoureteral reflux (VUR) refers to a condition in which urine flows from the bladder, back up the ureter, and back into the kidneys. Description The normal flow of urine begins in the collecting system of each kidney. Urine then flows out of each kidney and into a tube called the ureter. Each ureter leads into the bladder, where the urine collects until it is passed out of the body. Normally, urine should flow only in this direction. In vesicoureteral reflux, however, urine that has already collected in the bladder is able to flow backwards from the bladder, up the ureter, and back into the collecting system of the kidney. VUR may be present in either one or both ureters. Vesicoureteral reflux causes damage to the kidneys in two ways: The kidney is not designed to withstand very much pressure. When VUR is present, backpressure of the urine on the kidney is significant. This can damage the kidney. The kidney is usually sterile, meaning that no bacteria are normally present within it. In VUR, bacteria that enter through the urinary tract may be carried back up the ureter with the urine. These bacteria can enter the kidney, causing severe infection.

47. Vesicoureteral Reflux vesicoureteral reflux. vesicoureteral reflux (VUR) is the abnormal flowof urine from the bladder back into the ureters, particularly http://www.kidneyindia.com/vesicoureteral.htm

Acute Tubular Necrosis Acute Nephritis Alport Syndrome Analgesic Nephropathy ... Minimal Change Disease MultipleMyeloma Kidney Nephrotic Syndrome Neurogenic Bladder Polycystic Kidney Disease Prostate Disease ... Prostate Cancer Primary Hyperoxaluria Pyelonephritis Renal Tubular Acidosis Renal Vein Thrombosis RPGN Radiation Kidney SLE/Lupus Nephritis Sexual dysfunctions Transplant Drugs Urinary Incontinence Urinary Tract Infection Uric Acid Kidney Vesicoureteral Reflux Vasculitis Wilms Tumor Vesicoureteral Reflux Vesicoureteral reflux (VUR) is the abnormal flow of urine from the bladder back into the ureters, particularly when bladder contracts to void , This is because of malfunction of normal valve mechanism at the site where ureter joins with the bladder. VUR is usually diagnosed in infancy and childhood after the patient has a urinary tract infection (UTI). It can lead to infection because urine that remains in the urinary tract provides a place for bacteria to grow. But, the infection itself may the cause of VUR.

48. OHSU Doernbecher - Genitourinary & Kidney Disorders vesicoureteral reflux (VUR), RELATED SERVICES. ·, Nephrology. Whatis vesicoureteral reflux (VUR)? vesicoureteral reflux http://www.ohsuhealth.com/dch/health/urology/vur.asp

Anatomy of the Urinary System Overview of Genitourinary Disorders Male Conditions Ambiguous Genitalia ... Urinary Tract Infections (UTI) Vesicoureteral Reflux (VUR) Renal Failure Glossary Online Resources You have selected the following Health topic: - Adolescent Medicine - Burns - Cardiovascular Disorders - Care of the Terminally Ill Child - Children Having Surgery - Common Childhood Injuries and Poisoning - Craniofacial Anomalies - Dermatology - Diabetes - Eye Care - Genetics - Growth and Development - High-Risk Newborn - High-Risk Pregnancy - Immunizations - Infectious Diseases - Mental Health - Neurological Disorders - Normal Newborn - Oncology - Orthopaedics - The Pediatrician - Pregnancy and Childbirth - Respiratory Disorders - Transplantations - Well-Care Visits Vesicoureteral Reflux (VUR) RELATED SERVICES Nephrology What is vesicoureteral reflux (VUR)? Vesicoureteral reflux occurs when urine that dwells in the bladder flows back into the ureters and often back into the kidneys. The bladder is the hollow, muscular organ that stores urine before urination occurs. The bladder has three small openings: two connect the ureters where urine is drained down from the kidneys, and one connects the bladder to the urethra where urine exits the body. The ureters are funnel-shaped tubes that carry urine from the kidneys. Ureters enter the bladder at a diagonal angle and have a special one-way valve system that normally prevents urine from flowing back up the ureters in the direction of the kidneys. When a child has vesicoureteral reflux, the mechanism that prevents the back-flow of urine does not work, allowing urine to flow in both directions. A child who has vesicoureteral reflux is at risk for developing recurrent kidney infections, which, over time, can cause damage and scarring to the kidneys.

49. OHSU Health.com - Urology What is vesicoureteral reflux (VUR)? vesicoureteral reflux (VUR) isthe abnormal flow of urine from the bladder back into the ureters http://www.ohsuhealth.com/urology/vesicour.asp?sub=1

50. Vesicoureteral Reflux vesicoureteral reflux. vesicoureteral reflux has resulted in massivelyenlarged and thickened ureters and chronic pyelonephritis. http://biomed.brown.edu/Courses/BI279/Lec10/Lec10-B.htm

Vesicoureteral Reflux Vesicoureteral reflux has resulted in massively enlarged and thickened ureters and chronic pyelonephritis. Previous Next Return to Systemic Pathology Page

51. Vesicoureteral Reflux vesicoureteral reflux. Urine bladder. vesicoureteral reflux (VUR) is theabnormal flow of urine from the bladder back into the ureters. http://www.clevelandclinic.org/health/health-info/docs/1200/1202.asp?index=5995

52. Vesicoureteral Reflux In Children - Keep Kids Healthy vesicoureteral reflux (VUR) is a condition that causes urine to move backwardsfrom the bladder, through one or both of the ureters, and up to the kidneys. http://www.keepkidshealthy.com/welcome/conditions/vesicoureteral_reflux.html

Bookstore Site Map Contact Us Help ... Free Web Pages! Search this site: Advanced Search Free Newsletters Main Menu Useful Tools Index of Topics Pediatric Problems New! Parenting Tips Symptom Guide Nutrition Immunizations ... Web Links Online Resources What's New Reviews New! Growth Charts Online Forums Vaccine Schedule Baby Names Guide ... Height Calculator Newsletters: Subscribe to get free news, tips and updates. Recommend Us tell a friend about us or email this page to a friend Main Diseases and Conditions Vesicoureteral Reflux Most children with urinary tract infections, especially if they are younger than five years old will need some testing done to make sure that they do not have urinary reflux, or vesicoureteral reflux (VUR). This is a condition that causes urine to move backwards from the bladder, through one or both of the ureters, and up to the kidneys. It is especially important to test children under 2-5 years old with a UTI and older children that have more than one infection. Up to 50% of children with a UTI may have reflux on further testing. Related Topics Urinary Tract Infections Vesicoureteral reflux can either be primary , due to an intrinsic anatomic deformity of the ureterovesical junction (where the ureter enters the bladder), which is usually congenital and eventually resolves spontaneously in most cases. Vesicoureteral reflux can also be

53. Genitourinary And Kidney Disorders - Vesicoureteral Reflux (VUR) Site Search. Find A Doctor. For a doctor who specializes in this topic, clickhere. vesicoureteral reflux (VUR). What is vesicoureteral reflux (VUR)? http://www.chkd.org/Urology/vur.asp

More Health Information Adolescent Medicine Allergy/Immunology Anesthesiology Arthritis Burns Cardiology Craniofacial Dental Medicine Dermatology Developmental Peds Diabetes Digestive Ear, Nose, Throat Genetics Gastroenterology Growth Hematology High Risk Newborn High Risk Pregnancy Infectious Disease Mental Health Neonatology Nephrology Neurology Normal Newborn Normal Pregnancy Oncology Ophthalmalogy Orthopaedics Otolaryngology Pediatric Intensive Care Pediatric Surgery Pediatrics Physical Medicine Plastic Surgery Respiratory/Pulmonology Rheumatology Safety Surgery Terminal Transplant Urology Site Search For a doctor who specializes in this topic, click here. Vesicoureteral Reflux (VUR) What is vesicoureteral reflux (VUR)? Vesicoureteral reflux occurs when urine that dwells in the bladder flows back into the ureters and often back into the kidneys. The bladder is the hollow, muscular organ that stores urine before urination occurs. The bladder has three small openings: two connect the ureters where urine is drained down from the kidneys, and one connects the bladder to the urethra where urine exits the body. The ureters are funnel-shaped tubes that carry urine from the kidneys. Ureters enter the bladder at a diagonal angle and have a special one-way valve system that normally prevents urine from flowing back up the ureters in the direction of the kidneys. When a child has vesicoureteral reflux, the mechanism that prevents the back-flow of urine does not work, allowing urine to flow in both directions. A child who has vesicoureteral reflux is at risk for developing recurrent kidney infections, which, over time, can cause damage and scarring to the kidneys.

54. Genitourinary And Kidney Disorders - Vesicoureteral Reflux (VUR) vesicoureteral reflux (VUR). What is vesicoureteral reflux (VUR)? Vesicoureteralreflux occurs when urine that dwells in the bladder http://www.chkd.org/Urology/vur.asp?option=print

55. Vesicoureteral Reflux (VUR) Subscribe now . vesicoureteral reflux (VUR). vesicoureteral reflux (VUR)is the abnormal flow of urine from the bladder back into the ureters. http://oci.mcw.edu/article/943052307.html

Search: search tips Email this article Print this article Find related articles: By topic: Kidneys By keywords: Reflux ureters Receive Health Link via email! Subscribe now >> Vesicoureteral Reflux (VUR) Urine normally flows in one direction down from the kidneys, through tubes called ureters, to the bladder. Vesicoureteral reflux (VUR) is the abnormal flow of urine from the bladder back into the ureters. VUR is most commonly diagnosed in infancy and childhood after the patient has a urinary tract infection (UTI). About one-third of children with UTI are found to have VUR. VUR can lead to infection because urine that remains in the child's urinary tract provides a place for bacteria to grow. But sometimes the infection itself is the cause of VUR. There are two types of VUR. Primary VUR occurs when a child is born with an impaired valve where the ureter joins the bladder. This happens if the ureter did not grow long enough during the child's development in the womb. The valve does not close properly, so urine backs up (refluxes) from the bladder to the ureters, and eventually to the kidneys. This type of VUR can get better or disappear as the child gets older. The ureter gets longer as the child grows, which improves the function of the valve. Secondary VUR occurs when there is a blockage anywhere in the urinary system. The blockage may be caused by an infection in the bladder that leads to swelling of the ureter. This also causes a reflux of urine to the kidneys.

56. Child Health Library - Urology - Vesicoureteral Reflux (VUR) Information Concerning vesicoureteral reflux (VUR) from the Child Health Libraryof Children's Hopital of Pittsburgh. vesicoureteral reflux (VUR). http://www.chp.edu/greystone/urology/vur.php

About Parents Providers Library ... Research Select Another Subject Adolescent Medicine Arthritis Burns Cardiovascular Disorders Craniofacial Anomalies Dermatology Eye Care Growth and Development High-Risk Newborn High-Risk Pregnancy Infectious Diseases Medical Genetics Mental Health Neurological Disorders Normal Newborn Oncology Orthopaedics Respiratory Disorders Surgery Terminally Ill, Care of Transplantation Urology About Pittsburgh Directions and Parking Departments and Services Neighborhood Locations ... Online Resources Vesicoureteral Reflux (VUR) What is vesicoureteral reflux (VUR)? What causes vesicoureteral reflux? There are many different reasons why a child may develop vesicoureteral reflux.Some of the more common causes include: VUR commonly occurs in children whose parents or siblings have the irregularity.

57. Vesicoureteral Reflux vesicoureteral reflux. vesicoureteral reflux (VUR) refers to a condition in whichurine flows from the bladder, back up the ureter, and back into the kidneys. http://www.healthatoz.com/healthatoz/Atoz/ency/vesicoureteral_reflux.html

Encyclopedia Index V Home Encyclopedia Encyclopedia Index V Vesicoureteral reflux Definition Vesicoureteral reflux (VUR) refers to a condition in which urine flows from the bladder, back up the ureter, and back into the kidneys. Description The normal flow of urine begins in the collecting system of each kidney. Urine then flows out of each kidney and into a tube called the ureter. Each ureter leads into the bladder, where the urine collects until it is passed out of the body. Normally, urine should flow only in this direction. In vesicoureteral reflux, however, urine that has already collected in the bladder is able to flow backwards from the bladder, up the ureter, and back into the collecting system of the kidney. VUR may be present in either one or both ureters. Vesicoureteral reflux causes damage to the kidneys in two ways: The kidney is not designed to withstand very much pressure. When VUR is present, backpressure of the urine on the kidney is significant. This can damage the kidney. The kidney is usually sterile, meaning that no bacteria are normally present within it. In VUR, bacteria that enter through the urinary tract may be carried back up the ureter with the urine. These bacteria can enter the kidney, causing severe infection. Causes and symptoms Most cases of VUR are due to a defect in the way the ureter is implanted into the bladder. The angle may be wrong, or the valve (which should allow urine only one-way entrance into the bladder) may be weak. Structural defects of the urinary system may also cause VUR. These include a situation in which two ureters leave a kidney, instead of the usual one (duplicated ureters), and in which the ureter is greatly enlarged at the end leading into the bladder (ureterocele).

58. Member Sign In Given the genetic predisposition to vesicoureteral reflux (vur), what is theappropriate management of siblings of affected patients? Focus On http://www.medscape.com/viewarticle/413868

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59. Member Sign In What is the cause and incidence of vesicoureteral reflux in renal transplantrecipients? Focus On http://www.medscape.com/viewarticle/440410

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60. Aetna: Vesicoureteral Reflux Treatment By Endoscopic Injection Of Teflon Coverage Policy Bulletins. Number 0534 Subject vesicoureteral reflux Treatmentby Endoscopic Injection of Teflon. Belman AB. vesicoureteral reflux. http://www.aetna.com/cpb/data/CPBA0534.html

Home Coverage Policy Bulletins Medical Coverage Policy Bulletins Number: 0534 Subject: Vesicoureteral Reflux Treatment by Endoscopic Injection of Teflon Important Note http://cms.hhs.gov/manuals/pub06pdf/pub06pdf.asp Policy ANY of the following conditions when conservative treatments (e.g., prophylactic antibiotics and clean intermittent catheterization) have failed: High grades of reflux (grades IV and V) Recurrent, poorly controlled febrile urinary tract infections Persistent reflux in post-pubertal female patients Deterioration of renal parameters regardless of reflux severity Note: Patients who undergo this procedure in the hospital can usually be discharged within 24 hours. Patients whose condition does not improve after 3 treatment sessions are considered treatment failures and are not likely to respond to this therapy. Background According to the International Classification System of VUR, reflux is graded I to V on the basis of the appearance of contrast in the ureter and upper collecting duct system during voiding cystourethrography: Grade I Reflux into the non-dilated ureter Grade II Reflux into the renal pelvis, and calyces without dilation

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