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Vesicoureteral reflux

Also known as Ureteric Reflux

Vesicoureteral reflux (VUR) is an abnormal movement of urine from the bladder into ureters or kidneys. Urine normally travels from the kidneys via the ureters to the bladder. In vesicoureteral reflux the direction of urine flow is reversed (retrograde).

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with vesicoureteral reflux, 61% report having suprapubic pain, 47% report having fever, and 22% report having blood in urine. The symptoms that are highly suggestive of vesicoureteral reflux are suprapubic pain and symptoms of the kidneys, although you may still have vesicoureteral reflux without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with vesicoureteral reflux often receive radiographic imaging procedure, urinalysis, ultrasonography, complete physical skin exam performed (ml), plain x-ray, pelvis exam, rectal examination and microscopic examination (bacterial smear; culture; toxicology) .

Common Medications

The most commonly prescribed drugs for patients with vesicoureteral reflux include bactrim, polyethylene glycol 3350 (miralax), nitrofurantoin, oxybutynin, pneumococcal 7-valent conjugate vaccine (prevnar), guar gum, triple dye topical, meropenem, benzylpenicilloyl polylysine (pre-pen), valganciclovir (valcyte), lamivudine, zonisamide and miconazole topical product .

Who is at risk?

Groups of people at highest risk for vesicoureteral reflux include age 5-14 years, age 1-4 years and age < 1 years. On the other hand, age 30-44 years, age 75+ years, and age 45-59 years almost never get vesicoureteral reflux.

Age

< 1 years
6.2x
1-4 years
6.7x
5-14 years
3.8x
15-29 years
0.2x
30-44 years
0.0x
45-59 years
0.0x
60-74 years
0.1x
75+ years
0.0x

Sex

Male
0.6x
Female
1.3x

Race/Ethnicity

Black
0.6x
Hispanic
1.0x
White
1.1x
Other
1.3x
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