Prolapse bladder and vesicoureteral reflux

[needshelp37]

I have just been diagnosed with a bladder prolapse and as a result have vesicoureteral reflux.  
The reflux was initially intermitant, now it's all the time whether I'm standing or not. Is there
any relief for this.  I have been taking Bactrim for the past six days. Flank pain is gone but
reflux has gotten worse.  Any suggestions for relief and prevention would be appreciated.

[Lennox Hoyte, M.D.]

Your prolapse would have to be quite severe to generate "vesicoureteral reflux", which is a problem where the urine is flowing backwards from the bladder into the kidney. If you do have the reflux, severe enough to be causing flank pain, then you need to be seeing a urologist to address this. THe way to diagnose this reflux is to have a "voiding cystourethrogram", which is a study done under fluoroscopy to look at the urine flow. . The Bactrim is probably for a bladder infection, which may or may not be related to the prolapse. If your prolapse is causing urinary retention (where your bladder is not emptying completely), you probably will need to have the prolapse fixed, either with a pessary, or some type of anti prolapse surgery. Fixing prolapse can often but not always correct retention issues.  Get evaluated by a urogynecologist or female urologist, who can help you understand this problem better.

Dr. Hoyte

[needshelp37]

Thank you very much for your response. I have since seen a urologist and found that I have extensive scarring on my left kidney. (Many UTI's when I was a child which I presume is acting up again since the prolapse)  My urologist has ordered an abdomen x-ray, CT-Abdomen/Pelvis Urogram as well as a Cystoscopy.  I do have a scheduled appointment with a reconstruction surgeon to find out the extent of the prolapse.  
I have a hard time deciding when my bladder is full. I usually don't know until I get cramping in my upper stomach.  Could this be nerve damage? If so, would it be repaired once the prolapse were "fixed"?