Children face the risk of a disease or a disorder more than adults, and it is important to ensure all kinds of precautions are taken so they don’t suffer. One such problem that they face is known as vesicoureteral reflux, also referred to as VUR. This condition is diagnosed when the urine flows backward from the urine to the kidney.
As is commonly known, urine usually goes from the kidneys to the ureters and then to the bladder. The muscles around the bladder and the ureters, as well as the pressure of the urine that is in the bladder ensures that it doesn’t flow back to the kidneys.
But due to vesicoureteral reflux, it flows in the opposite direction, which in turn could result in infection, scarring and damage to the kidneys because of the bacteria that may be present in the urine in the bladder. Some cases of VUR can be managed with medication & waitful watching, and the VUR might resolve spontaneously as the child grows upto 3-4 years. This would require the use of antibiotics daily for many months (sometimes years). However, those cases of VUR grades 3,4,5 which are associated with repeated urinary infections and kidney damage may require surgical treatment to stop the VUR.
There are many surgical techniques to stop VUR. The least painful technique for the child is cystoscopic Deflux injection. This procedure does not involve any cut on the body. Endoscopy is carried out into the bladder, where a special material (implant or bulking material) is injected at the entrance of the refluxing ureter. This material solidifies there and acts as a valve to prevent VUR. This technique works best for children with VUR grades 2 to 4, and is the treatment of choice in such cases. This procedure takes only about 15-30 minutes, can be done as a day-case procedure, and the child usually has no pain or other issues.
The cystoscopic deflux injection has a good success rate, with studies showing about 75% success with one injection. However, as the procedure is technically demanding, the success heavily depends on the expertise & experience of the surgeon performing the procedure.
Dr VVS Chandrasekharam, Chief surgeon at Ankura Hospital for Women and Children, has the largest experience with Deflux injection for VUR in South India. He has performed over 150 Deflux injections, with a 75% success rate. He is an invited speaker throughout the country on VUR management, and has conducted many live operative workshopps on VUR. Dr Chandrasekharam also has the largest experience with laparoscopic surgery for VUR. This makes Ankura hospital the best place to get your child’s VUR treated by the best expert in the field.