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Urology (Expert Forum)
Kidney Reflux (pediatric)
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.
Kidney Reflux (pediatric)
by cadabat, Feb 12, 2007 12:00AM
My 5 year old daughter has grade 2 reflux. Originally diagnosed with grade 1 at age 3. She has just gone through her third VCUG exam and it is not changing. I can not bare to put her through that test again. She has been on antibiotics for two years with out a breakthrough infection. It is also now apparent that she has a double ureter on one side. Our doctor is suggesting the deflux procedure. Is this as easy a solution as it appears to be? The statistics are not as high for a patient with a double ureter. But she is apparently a "prime" candidate for the procedure??? Looking for additional insite.
Doctor's Answer
by Kevin Pho, MD, Feb 13, 2007 12:00AM
, Feb 13, 2007 12:00AM
There seems to be refractory symptoms despite optimal medical therapy (i.e. antibiotics for 2 years).
At this time, I agree with the consideration of surgery. This can be done either open or endoscopically. The success rates for an open procedure range in the 90 percent range, while it is lower for those done endoscopically or with a double ureter.
Despite these options, long-term studies do not show a better outcome with surgery vs medical treatment (i.e. incidence of UTI or renal scarring).
This sounds like a difficult case. I would discuss these options with another pediatric urologist, preferably at a major academic medical center.
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.
Kevin, M.D.
kevinmd_
At this time, I agree with the consideration of surgery. This can be done either open or endoscopically. The success rates for an open procedure range in the 90 percent range, while it is lower for those done endoscopically or with a double ureter.
Despite these options, long-term studies do not show a better outcome with surgery vs medical treatment (i.e. incidence of UTI or renal scarring).
This sounds like a difficult case. I would discuss these options with another pediatric urologist, preferably at a major academic medical center.
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.
Kevin, M.D.
kevinmd_
