Vesicoureteral Reflux

WHAT IS VESICOURETERAL REFLUX?
Vesicoureteral reflux is the backflow of urine from the bladder to the kidneys. It is a congenital disease. This condition causes inflammation in the urinary tract and damages the kidneys. Leakage can occur to varying degrees. Depending on the degree of leakage, the kidneys may have been damaged from birth. Over time, the leak may regress and disappear. During this period, the patient must be followed closely.
HOW IS IT DIAGNOSED?
If enlargement of the baby's kidneys is detected in the follow-up ultrasonography performed in the womb, the diagnosis can be made by inserting a catheter and taking a medicated film to check whether there is any leakage in the baby. Even if no abnormalities are detected in the womb, patients who have recurrent urinary tract infections are also given medication through a catheter, an X-ray is taken, and a diagnosis is made.
IS SURGERY REQUIRED?

Surgery is planned in patients with advanced reflux and in whom kidney damage cannot be prevented due to urinary tract infection. Patients with lower-grade reflux and no problems with follow-up are followed up as there is a possibility that the reflux will disappear on its own.
HOW IS THE SURGERY DONE?
Open and closed (cystoscopic) surgical techniques are available. In a joint meeting where pediatric surgeons and pediatric nephrologists are present, it is decided which method will be used for surgery. In the closed method, the leaky urinary tract is examined by entering the urinary bladder with a camera from the external urinary tract. The substance is injected into the network with a needle. In the open method, the urinary bladder is opened and the leaky urinary tract is located, and attempts are made to prevent leakage using various surgical techniques. All open and closed surgical techniques are successfully applied in Göztepe Pediatric Surgery Clinic.
WHAT AWAITS US AFTER THE SURGERY?

The patient leaves the surgery with catheters in the external urinary tract and the operated urinary tract(s). After the surgery, the patient is followed up in Göztepe Pediatric Surgery service. The catheters are removed within 5-10 days depending on the patient's condition. If there are no additional problems after the catheters are removed, the patient is called to Göztepe pediatric surgery and pediatric nephrology outpatient clinic checks and discharged.
WHAT ARE THE POSSIBLE COMPLICATIONS OF THE SURGERY?
Swelling may be observed in the surgery area after the surgery. This situation is temporary.
Bleeding or blood accumulation (hematoma) may occur in the surgery area.
The surgery area may become infected (germs).
A hernia may develop from the surgery site.
Leakage may continue (this possibility is more common in the closed method).
Stenosis may develop at the mouth of the leaky urinary tract.

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