ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
medimedia.ir

Patient education: Vesicoureteral reflux in adults (The Basics)

Patient education: Vesicoureteral reflux in adults (The Basics)

What is vesicoureteral reflux? — Vesicoureteral reflux ("VUR") is a condition that causes some urine to flow in the wrong direction inside the body.

All of the organs that handle urine are together called the "urinary tract" (figure 1). Normally, urine that the kidneys make flows to the bladder through tubes called "ureters." Then, it flows from the bladder out of the body. But in people with VUR, some of the urine flows backward from the bladder through the ureters to the kidneys. This can happen in 1 or both of the ureters.

This problem is most common in babies and young children. It often gets better or goes away as the child gets older. But it can also happen in older children and in adults.

What causes VUR? — VUR is caused by problems with the ureters or bladder. Usually, people are born with these problems. But the problems might not be found until the person is an adult. Other times, people who weren't born with VUR get it later because of different conditions that affect the urinary tract.

What are the symptoms of VUR? — There are no symptoms. But some people get frequent urinary tract infections ("UTIs"). If you have a UTI, you might have symptoms such as pain or burning when you urinate and needing to urinate often.

Why would a doctor think I have VUR? — Your doctor might think that you have VUR for different reasons, including:

Frequent UTIs – UTIs are usually caused by bacteria in the bladder or kidneys. If you get UTIs often, your doctor might want to test you for VUR. If you have both conditions at the same time, infected urine could flow backward to the kidney and cause damage.

Abnormal findings on an imaging test – People get imaging tests (which take pictures of the inside of the body) for different reasons. These tests include ultrasounds and MRIs. If some part of your urinary tract does not look normal on 1 of these tests, your doctor might want to test you for VUR.

High blood pressure – High blood pressure is very common, especially in older people and people who are overweight. It usually has nothing to do with VUR, but in a few people, the 2 conditions are related. If your doctor thinks that your high blood pressure is not caused by the usual problems, they might want to test you for VUR.

Kidney disease – Some people with kidney disease also have VUR.

Is there a test for VUR? — Yes, there is a test called a "voiding cystourethrogram" ("VCUG"). For this test, the doctor puts a small, flexible tube inside your bladder. Next, the doctor fills the bladder with a special fluid that shows up on X-rays. You then urinate while X-rays are taken. The X-rays show if the urine is flowing the wrong way.

How is VUR treated? — Treatments include:

Antibiotics – Your doctor might want you to take antibiotics every day, but at a lower dose than if you really had an infection. These medicines can help keep you from getting a UTI.

Surgery – Different kinds of surgery can stop the backflow of urine from the bladder to the kidney.

More on this topic

Patient education: Urinary tract infections in adults (The Basics)
Patient education: Neurogenic bladder in adults (The Basics)

Patient education: Urinary tract infections in adolescents and adults (Beyond the Basics)

This topic retrieved from UpToDate on: Feb 02, 2024.
Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. 2024© UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.
Topic 83070 Version 10.0

آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟