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The Pee Saga: Our Life with Vesicoureteral Reflux

Vesicoureteral Reflux (VUR) is an often-inherited condition affecting about one percent of children, causing the abnormal flow of urine from the bladder to the upper urinary tract, including the kidneys. There are five grades of VUR, I through V, with Grade I being the least severe and Grade V being the most severe. There are also primary and secondary types of VUR, and the condition can affect one or both sides of the urinary tract.

That’s the nice, textbook definition of the condition. The reality of VUR is something else altogether. Since my daughter was born, I’ve learned more about this condition than I ever wanted to, and I am happy to pass along some of my hard-won lessons.

Lesson…

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Articles of Interest

Genetics of Vesicoureteral Reflux

Vesicoureteral reflux (VUR) is the retrograde passage of urine from the bladder to the upper urinary tract. It is the most common congenital urological anomaly affecting 1-2% of children and 30-40% of patients with urinary tract infections. VUR is a major risk factor for pyelonephritic scarring and chronic renal failure in children. It is the result of a shortened intravesical ureter with an enlarged or malpositioned ureteric orifice.

Mangement and Screening of Primary Vesicoureteral Reflux in Children

The clinician who is looking for a "recipe" to manage all children with VUR will be disappointed in this Guideline, but such a "cookbook" approach is what has produced much of the current confusion in the management of VUR.

My Daughter has Vesicoureteral Reflux (VUR)

Every parent says “We don’t care if it’s a boy or a girl as long as we have a healthy baby.” But what if you don’t have a healthy baby? What if from day one your precious little bundle of joy is sick? In and out of hospitals and doctors offices and you don’t have a clue what is going on? What then?

Surgical management of vesicoureteral reflux in children

Vesicoureteral reflux (VUR) is the most common uropathy affecting children. Compared to children without VUR, those with VUR have a higher rate of pyelonephritis and renal scarring following urinary tract infection (UTI).

The diagnosis and treatment of vesicoureteral reflux

Vesicoureteral reflux [VUR] remains a common problem seen by pediatric providers. Despite a great deal of research, the debate regarding how to screen and treat patients remains tense and controversial.

Resources

Lizzie's Journey

I started this site for a number of reasons, the most important being as a resource for parents of children with Vesicoureteral Reflux and other bladder issues.

National Institute of Diabetes and Digestive and Kidney Diseases

Vesicoureteral reflux is more common in infants and young children, but older children and even adults can be affected. About 10 percent of children have VUR.

HealthyChildren.org

About 1-3% of all infants and children have a condition called vesicoureteral reflux (VUR), which means some of their urine flows in the wrong direction after entering the bladder.

KidsHealth

Treatment depends on the severity of the condition. In mild cases, no treatment is necessary. Moderate to severe cases may be treated with antibiotic medicines to prevent infection. In cases where kids have infections and fevers along with the VUR, surgery may be needed.

MayoClinic

Vesicoureteral reflux is usually diagnosed in infants and children. The disorder increases the risk of urinary tract infections, which, if left untreated, can lead to kidney damage. Vesicoureteral reflux can be primary or secondary.