Vesicoureteral-reflux with reflux nephropathy without hydroureter digital illustration

Vesicoureteral-reflux with reflux nephropathy without hydroureter Save


ICD-10 code: N13.72

Chapter: Diseases of the genitourinary system

Vesicoureteral-reflux with reflux nephropathy without hydroureter

Vesicoureteral reflux (VUR) is a condition where urine flows back from the bladder to the kidneys due to the malfunction of the valve that connects the bladder and the ureter. This condition can cause a lot of complications, including reflux nephropathy, which is kidney damage due to VUR. However, not all cases of VUR result in hydroureter, which is the dilation of the ureter due to the backup of urine.

When VUR is present without hydroureter, it is called VUR without hydroureter or VUR grade 0. This condition is less severe than VUR with hydroureter, but it can still cause kidney damage if left untreated. The most common symptoms of VUR without hydroureter include urinary tract infections, frequent urination, and bedwetting in children.

Diagnosing VUR without hydroureter involves a series of tests, including a physical exam, urine analysis, and imaging tests such as ultrasounds and voiding cystourethrogram (VCUG). Treatment options for VUR without hydroureter depend on the severity of the condition and the age of the patient.

  1. Watchful waiting: In mild cases of VUR without hydroureter, doctors may recommend a wait-and-see approach where they monitor the patient's condition and prescribe antibiotics to prevent urinary tract infections.
  2. Medications: In some cases, doctors may prescribe medications such as antibiotics, anticholinergics, or alpha-blockers to manage the symptoms of VUR without hydroureter.
  3. Surgery: In severe cases of VUR without hydroureter, surgery may be necessary to correct the malfunctioning valve and prevent further kidney damage. The most common surgical procedure for VUR is ureteral reimplantation.

It is important to note that VUR without hydroureter can lead to complications such as kidney scarring, hypertension, and chronic kidney disease if left untreated. Therefore, it is crucial to seek medical attention if you or your child experience any symptoms of VUR without hydroureter.

In conclusion, VUR with reflux nephropathy without hydroureter is a condition that requires prompt medical attention. With proper diagnosis and treatment, patients with VUR without hydroureter can manage their symptoms and prevent further kidney damage.