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Urology (Expert Forum)
?Reflux with Hydrant?
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.
?Reflux with Hydrant?
by Jack-DeLaney, Oct 20, 1998 12:00AM
My 5 year old daughter has recently been diagnosed has having something called reflux with hydrant stage 3 with her kidneys, meaning that she has 2 tubes that leave her kidneys. I was shipped to Korea before I was able to get any information on this. Is it serious? Is it repairable, and if so how serious is the operation? Are there any long term effects?
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Dear Jack, It seems that your daughter is being investigated for vesicoureteric reflux (VUR). Normally the urine from the bladder is not allowed to go back in to the kidney. In some kids, this valvular mechanism is not fully developed. This results in a retrograde flow of urine and bladder bacteria to the kidney. VUR predisposes them to urinary tract infections, which, if untreated can result in kidney damage.
Reflux is most commonly diagnosed by the voiding cystourethrogram (VCUG). It seems it has already been performed in your daughter. Most commonly employed treatment for VUR is long-term antibiotics, which can prevent infection in most cases while the child’s urinary system is maturing. The main reason for poor results is the lack of long term compliance. You should therefore understand the importance of close follow-up and adherence to treatment for a long time.
If medical therapy fails, this condition can usually be treated by surgery. At this time however, your daughter needs a pediatric urology consult and proper baseline investigation. After that a scientific management plan can be formulated.
Failure to protect the kidneys from infection can lead to kidney failure and high blood pressure. The need for treatment cannot be overemphasized.
This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. The Henry Ford Hospital Department of Urology has experience in the evaluation and treatments of problems such as you describe. We would be most interested in helping you. You can reach us through our toll-free number (1-800-653-6568). We can also arrange local accommodations through this number if this is your need. Please bring any x-rays [and pathology slides] (not just the reports) as well as any physicians notes and lab test results that you may be able to obtain. These will help us greatly.
Sincerely,
HFHS M.D.-A.T.
*keyword: vesicoureteral reflux
