VUR Treatment in Lucknow | Dr. Aditya P.S. Sengar

What is Vesico Ureteric Reflux (VUR)?

Vesico Ureteric Reflux (VUR) is a condition commonly found in children where urine flows backward from the bladder into the ureters and sometimes up to the kidneys. This retrograde flow can increase the risk of urinary tract infections (UTIs) and kidney damage. Normally, urine flows one way from the kidneys to the bladder. Valves at the ureter-bladder junction prevent backward flow. In VUR, these valves are defective, allowing urine to reflux.

Causes of VUR in children can be primary or secondary:

Primary VUR:Due to a congenital defect in the valve mechanism at the ureter-bladder junction, which is often hereditary.
Secondary VUR: Results from a blockage or increased pressure in the bladder, possibly due to bladder dysfunction or neurogenic bladder.

Symptoms of Vesico Ureteric Reflux (VUR)

Frequent UTIs
Painful urination
Fever (with or without chills)
Abdominal or flank pain
Bedwetting (enuresis)
Blood in urine (hematuria)

Diagnosis

Ultrasound: Evaluates the kidneys and bladder for structural abnormalities.
Voiding Cystourethrogram (VCUG): An X-ray test using contrast dye to visualize urine flow and detect reflux.
Dimercaptosuccinic Acid (DMSA) Scan: A nuclear medicine test to assess kidney function and detect scarring.

Treatment

Antibiotic Prophylaxis: Prevents UTIs, commonly used in low-grade VUR.
Endoscopic Injection: A less invasive procedure involving injection of a bulking agent to prevent reflux.
Ureteral Reimplantation: A surgical procedure to reposition the ureters and correct the reflux, usually reserved for high-grade VUR or when medical management fails.

Vesico Ureteric Reflux in children is a manageable condition with early detection and appropriate treatment. Regular monitoring and proactive management are essential to prevent long-term kidney damage and ensure healthy development. If anyone you know is experiencing Vesico Ureteric Reflux, it is important to consult Dr. Aditya P.S. Sengar the best urologist in lucknow for Vesico Ureteric Reflux treatment.

Kidney reflux and recurrent UTI care in children

VUR treatment in Lucknow is important because backward urine flow can be linked with recurrent UTIs, fever, kidney scarring, and bladder dysfunction. Dr. Aditya P.S. Sengar evaluates infection history, reflux grade, kidney scans, bladder habits, and child-specific risk before planning care.

Why evaluation matters

Children with febrile UTI, hydronephrosis, bed-wetting, bladder bowel dysfunction, or kidney scarring may need reflux assessment.

Diagnosis focus

Ultrasound, VCUG/MCU, urine culture, DMSA scan, kidney function review, and bladder habit assessment may be used.

Treatment planning

Options include monitoring, UTI prevention, bladder bowel care, antibiotic prophylaxis, endoscopic injection, or ureteric reimplantation.

Tests for VUR

These tests help the doctor confirm reflux, see how severe it is and check whether the kidneys have been affected.

Urine test and culture: confirms a urine infection and shows which antibiotic will work.
Ultrasound of the kidneys and bladder: shows the size and shape of the kidneys and any swelling.
VCUG or MCU: an X-ray test done while the bladder fills and empties. It shows whether urine goes back up and how severe the reflux is (its grade).
DMSA scan: shows whether there are any scars on the kidneys from past infections.
Bladder and bowel habit review: checks for holding urine or constipation, which can make reflux and infections worse.

How VUR is treated

Mild reflux often gets better on its own as the child grows, so many children are simply watched closely.
Some children are given a small daily dose of antibiotic to help prevent urine infections.
Good bladder and bowel habits are taught, such as passing urine regularly and treating constipation.
If infections keep coming back or reflux is severe, the doctor may suggest a procedure.
Options can include an endoscopic injection, where a gel-like material is placed at the ureter opening through a thin camera, with no cut on the tummy.
Another option is ureteric reimplantation, an operation to re-attach the ureter to the bladder so urine no longer flows back.

Recovery after VUR treatment

Watching with medicinesYour child continues normal life. Watch for fever, pain or smelly urine, and see the doctor quickly if these occur.
After endoscopic injectionMost children go home the same day or the next day and return to normal activity within a few days.
After reimplant surgeryMost children stay in hospital for a few days. A catheter may be in place for a short time, and normal play usually resumes over a few weeks.
Follow-upRepeat urine tests and scans may be done to check that the reflux has settled and the kidneys stay healthy.

The doctor will plan your child's treatment and tests based on the grade of reflux and the infection history.

Cost of VUR treatment in Lucknow

Many children with VUR need only regular check-ups and medicines, which keeps costs low. If a procedure is needed, the cost depends on whether it is an endoscopic injection or open reimplant surgery, how long your child stays in hospital and which scans are needed.

Precision Urology Hospital works with almost all health insurance and cashless schemes, so most families are covered. A clear estimate is shared before any treatment, so you can plan without surprises. You can send reports on WhatsApp for a free first opinion. Cover depends on your own policy, and the team can check it with your insurer before treatment.

Send reports for a free opinion