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Urology (Expert Forum)
bladder influx causing kidney infection
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
bladder influx causing kidney infection
by ghbmeb, Jun 25, 2003 12:00AM
Years ago, during an abdominal operation, a suture was mistakenly placed across my urether which cut off the flow of urine from my kidney to my bladder. Thereafter, during emergency corrective surgery, my urether was cut and relocated in my bladder but the valve which normally stops urine from backtracking through the ureter to the kidney from the bladder no longer exists. Now I have repeated serious kidney infections caused by reflux from my bladder.
What corrective procedures are available? How succesful have they been? What hospital has most expertise and experience in dealing with this sort of problem.
What corrective procedures are available? How succesful have they been? What hospital has most expertise and experience in dealing with this sort of problem.
Doctor's Answer
by Kevin Pho, MD, Jun 26, 2003 12:00AM
, Jun 26, 2003 12:00AM
Hello - thanks for asking your question.
There are several options for reflux. The first would be chronic antibiotics (either with Bactrim or Macrobid) to prevent the infections.
Open surgery is the usual technique for correction of reflux. Less invasive alternatives under investigation include laparoscopic extravesical implantation and endoscopic injection of materials behind the ureter to provide backing and a valve mechanism during bladder filling and emptying.
Studies shown that surgery can correct reflux in 98 percent of cases. For medical therapy, studies have shown that reflux can be corrected in 15 percent after 5 years and 52 percent after 10 years.
To find another urological opinion, here is the website from the American Urological Association. You can find a urologist near you for a second opinion:
http://www.urologyhealth.org/find_urologist/
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Bibliography:
Rose, et al. Diagnosis and treatment of vesicoureteral reflux and chronic pyelonephritis. UptoDate, 2003.
There are several options for reflux. The first would be chronic antibiotics (either with Bactrim or Macrobid) to prevent the infections.
Open surgery is the usual technique for correction of reflux. Less invasive alternatives under investigation include laparoscopic extravesical implantation and endoscopic injection of materials behind the ureter to provide backing and a valve mechanism during bladder filling and emptying.
Studies shown that surgery can correct reflux in 98 percent of cases. For medical therapy, studies have shown that reflux can be corrected in 15 percent after 5 years and 52 percent after 10 years.
To find another urological opinion, here is the website from the American Urological Association. You can find a urologist near you for a second opinion:
http://www.urologyhealth.org/find_urologist/
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Bibliography:
Rose, et al. Diagnosis and treatment of vesicoureteral reflux and chronic pyelonephritis. UptoDate, 2003.
Member Comments (1)
by medicgal, Jun 26, 2003 12:00AM
To: Kidney
0
