Vesicoureteral reflux (VUR) is a condition that causes backward flow of urine from the bladder into the ureters. Surgery-based treatment can help resolve this problem and provide relief from symptoms. This guide will cover the risks and benefits of surgery-based treatment for vesicoureteral reflux, as well as other management options.
What is Vesicoureteral Reflux?
Vesicoureteral Reflux (VUR) is a condition where urine moves back up from the bladder into one or both of the ureters. Ureters are tubes that carry urine from the kidneys to the bladder. This can lead to infection, as well as poor kidney function long-term. Symptoms of vesicoureteral reflux include frequent and urgent urination, painful urination, and discomfort in the lower abdomen. If left untreated, it can cause serious complications such as permanent damage to the kidneys and other urinary tract organs.
How to Diagnose VUR
To diagnose vesicoureteral reflux, a doctor will typically perform an imaging scan or a voiding cystourethrogram. A voiding cystouretrogram is a procedure wherein the patient urinates while images are taken of the urinary system. The imaging scan can detect any blockages or deformities in the ureters or bladder that could cause vesicoureteral reflux. Additionally, urine samples and lab tests may be taken to help rule out other conditions that could be causing similar symptoms.
What Are the Benefits of Surgery?
Surgery for vesicoureteral reflux can be a very effective treatment option offering numerous benefits. Surgery may reduce pain and discomfort caused by this condition, as well as the risk of urinary tract infections. Additionally, it could prevent kidney damage or disease that could be caused by vesicoureteral reflux. Lastly, the surgery can reduce the risk of bladder and kidney damage in future pregnancies.
What Are the Risks of Surgery?
Although surgery has many potential benefits, there are some risks associated with the procedure. Pain and bleeding are possible side effects of surgery, as well as infections or complications from anesthesia. Additionally, the risk of scarring from vesicoureteral reflux may increase after surgery due to the surgical process itself, although this is rare. Finally, it’s possible for the procedure to be unsuccessful, meaning that the vesicoureteral reflux does not go away after the surgical procedure.
Alternatives to Surgery for Treatment of Vesicoureteral Reflux
VUR may be managed without surgery in some cases. These alternatives to surgical treatments for VUR may include medical therapies such as antibiotics or bacteriostatic medications, lifestyle changes, and dietary modifications. Doctors may also recommend more specific treatments such as endoscopic procedures like cystoscopy or ureteral stenting instead of traditional open surgery. It's important to talk to your doctor and understand all the options available before deciding the best treatment for your case.