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Urology (Expert Forum)
vesicoureteral reflux
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.
vesicoureteral reflux
by staci-porter, Jan 01, 1995 12:00AM
Posted By staci porter on March 02, 1999 at 14:06:04:
When my daughter was 2 she got her first uti with a fever. At 3 she got one more uti, again with a fever. At this point our dr sent her to get an ultrasound. One kidney was bigger than the other, but nothing else was shown. Another ultrasound was given 2 mo later to check on the kidney, the ultrasound showed exactly the same results. At 3 and 4 mo, she got another uti. Our Dr at this point sent us to childrens hospital in Boston to a pediatric urologist as well as starting her on a propholactic dose of sulfa. There she had another ultrasound, where they found that on her right side she had 2 ureters going into the bladder and they could see the bladder enlarge and then get smaller. They said that the movement indicated reflux and that we should have the radionuclide cystogram, which we did. The RNC showed bilateral reflux with a grade of 3. At this point the dr scheduled her for a DMSA scan and continued her on the sulfa. It was found however that at the time of the RNC, she had another uti. She was placed on augmentin which cleared it up. 4 days after finishing the augmentin we tested her again for a uti and it was again positive. This time she was put on another medicine (I cant remember the name.)
ANyway, the specialist just called and wants her to get the surgery. After reading all the questions and all the literature I am not sure about the surgery. Her reflux isnt that severe, but she is getting a lot of uti's. Wouldnt it seem more wise to try swithching the propholactic dose, since sulfa doesnt even seem like a common one used in this instance? ALso should the original ultrasounds havebshown something? The ultrasound at children's picked it up so quickly. One last question. Twice, when my daughter got the stomach flu, she was hospitalized for dehydration while my other son got through it just fine. I know this is stretching it, but could there be any correlation with reflux that makes her prone to dehydration in stressful situations like that?
Thank you for your time and I look forward to hearing your response,
Staci
When my daughter was 2 she got her first uti with a fever. At 3 she got one more uti, again with a fever. At this point our dr sent her to get an ultrasound. One kidney was bigger than the other, but nothing else was shown. Another ultrasound was given 2 mo later to check on the kidney, the ultrasound showed exactly the same results. At 3 and 4 mo, she got another uti. Our Dr at this point sent us to childrens hospital in Boston to a pediatric urologist as well as starting her on a propholactic dose of sulfa. There she had another ultrasound, where they found that on her right side she had 2 ureters going into the bladder and they could see the bladder enlarge and then get smaller. They said that the movement indicated reflux and that we should have the radionuclide cystogram, which we did. The RNC showed bilateral reflux with a grade of 3. At this point the dr scheduled her for a DMSA scan and continued her on the sulfa. It was found however that at the time of the RNC, she had another uti. She was placed on augmentin which cleared it up. 4 days after finishing the augmentin we tested her again for a uti and it was again positive. This time she was put on another medicine (I cant remember the name.)
ANyway, the specialist just called and wants her to get the surgery. After reading all the questions and all the literature I am not sure about the surgery. Her reflux isnt that severe, but she is getting a lot of uti's. Wouldnt it seem more wise to try swithching the propholactic dose, since sulfa doesnt even seem like a common one used in this instance? ALso should the original ultrasounds havebshown something? The ultrasound at children's picked it up so quickly. One last question. Twice, when my daughter got the stomach flu, she was hospitalized for dehydration while my other son got through it just fine. I know this is stretching it, but could there be any correlation with reflux that makes her prone to dehydration in stressful situations like that?
Thank you for your time and I look forward to hearing your response,
Staci
