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Vesicoureteric Reflux Medical Diagram

Понимание пузырно-мочеточникового рефлюкса

Пузырно-мочеточниковый рефлюкс (VUR) is a condition in infants and children where urine flows backward from the bladder up into the ureters and kidneys. This retrograde backflow carries infected urine from the bladder into the upper urinary tract, leading to recurrent Инфекции мочевыводящих путей (pyelonephritis), progressive гидронефроз, and permanent kidney scarring. Early evaluation for Vesicoureteric Reflux treatment in Delhi is vital to protect renal tissue and prevent hypertension later in life.

Причины пузырно-мочеточникового рефлюкса

VUR can be classified into two primary clinical types:

  • Первичный ПМР: A congenital anatomical defect where the ureter enters the bladder wall too short or straight, failing to form a passive functional valve.
  • Вторичный ВУР: Resulting from abnormally high intra-vesical pressures due to lower tract obstruction (such as PUV) or neurogenic bladder dysfunction.

Признаки пузырно-мочеточникового рефлюкса

Parents should watch for key clinical and imaging signs:

  • Recurrent High-Fever UTIs: Frequent urinary tract infections accompanied by high fever, chills, and flank pain.
  • Антенатальный гидронефроз: Swelling of fetal kidneys detected on prenatal ultrasound scans.
  • Voiding Disturbances: Urgency, frequency, or painful urination in toilet-trained children.

Передовая помощь

Варианты лечения

Процедура STING (Deflux)

A minimally invasive endoscopic injection of biodegradable gel at the ureter opening to create a working valve, done as daycare.

Роботизированная реимплантация мочеточника

Reconstructing the uretero-vesical junction using advanced robotic precision to create a longer, non-refluxing intramural tunnel.

Антибиотикопрофилактика

A low-dose daily antibiotic regimen to keep the urine sterile and prevent kidney infections while waiting for VUR to resolve naturally.

Клинический путь

Хирургический процесс

01

Диагностическое картирование

VUR is accurately graded using a Micturating Cystourethrogram (MCU) scan, and kidney scarring is evaluated using a DMSA renal scan.

02

Инъекция Дефлюкс / Хирургическое вмешательство

For STING, a light cystoscope is passed into the bladder to place the injection. For robotic surgery, ports are utilized to tunnel the ureters.

03

Follow-up Imaging

A follow-up ultrasound or renal scan is done in 3 to 6 months to confirm that reflux has resolved and the kidneys are draining cleanly.

Истории успеха

Услышать от родителей

"Our daughter was having high-grade reflux causing kidney infections. Consulting Dr. Sujit for Vesicoureteric Reflux treatment in Delhi resulted in a seamless STING procedure. No cuts, and home the same day."

Нита Шарма
Мать 3-летнего пациента

"Роботизированная реимплантация мочеточника при двустороннем пузырно-мочеточниковом рефлюксе прошла с огромным успехом. Наш ребенок полностью свободен от инфекций. Спасибо, доктор Чоудхари."

Раджеш К.
Отец

"Dr. Chowdhary is an outstanding Vesicoureteric Reflux surgeon in Delhi. His scientific approach helped us avoid unnecessary long-term antibiotics through timely endoscopic correction."

Соня Мехта
Мать

Точность операции доктора Чоудхари невероятна. Его уверенность дала нам огромное душевное спокойствие в очень стрессовое время.

Анита Шарма
Мать

"We traveled from another city just for Dr. Chowdhary's expertise in Vesicoureteric Reflux treatment in Delhi. His methodical care saved our child's kidney health."

Каран Сингх
Родитель
Доктор Суджит Чоудхари

Уролог

Почему стоит выбрать доктора Суджита Чоудхари?

When parents seek a leading Vesicoureteric Reflux surgeon in Delhi, minimal-access daycare endoscopic injection (STING/Deflux) and advanced robotic ureteral reimplantation ensure exceptional cure rates with minimal discomfort.

  • Specialist in minimally invasive STING (Deflux) procedure for VUR.
  • High success rates in robotic and open ureteral reimplantation.
  • Comprehensive diagnostic MCU and DMSA imaging evaluations.
  • Focus on preserving kidney function and preventing recurrent pyelonephritis.
  • Compassionate care and dedicated support for families throughout treatment.
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Частые запросы

Часто задаваемые вопросы

What is Vesicoureteric Reflux (VUR) and how does it occur?

Vesicoureteric Reflux (VUR) is a congenital condition where the flap-valve mechanism between the ureter and bladder is incompetent, allowing urine to flow backwards toward the kidneys during bladder contraction.

How is VUR diagnosed and graded?

VUR is diagnosed using a Micturating Cystourethrogram (MCU / VCUG) imaging scan and graded from Grade I (mild reflux into lower ureter) to Grade V (severe reflux with extreme dilation and tortuosity of ureters and kidneys).

Does VUR always require surgical intervention?

No, lower grades (Grade I–III) often resolve spontaneously as the child grows and the ureteric tunnel lengthens. Low-grade VUR is managed conservatively with continuous low-dose prophylactic antibiotics and regular monitoring.

What is the endoscopic STING (Deflux) procedure?

STING is a minimally invasive daycare procedure where a pediatric urologist inserts a miniature cystoscope into the bladder and injects a biocompatible gel (Deflux) under the ureter opening, creating a firm bulge that acts as a one-way valve to stop backflow.

When is open or robotic ureteral reimplantation recommended?

Ureteral reimplantation is recommended for high-grade reflux (Grade IV–V), persistent reflux that fails endoscopic STING treatment, or when breakthrough kidney infections occur despite antibiotic prophylaxis.

Can untreated VUR lead to permanent kidney damage?

Yes, repeated kidney infections (pyelonephritis) caused by untreated VUR lead to renal scarring, loss of kidney function, stunted renal growth, and an increased risk of high blood pressure in adulthood.

What follow-up care is needed after VUR treatment?

Following STING or reimplantation, follow-up renal ultrasounds and DMSA kidney scans are scheduled at 3 to 6 months to confirm that reflux has ceased and that kidney growth and function remain healthy.

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Эндоскопические инъекции STING и роботизированная реимплантация обеспечивают высокие показатели излечения ПМР. Запишитесь на консультацию сегодня.

Адрес клиники

D6, Club, 2, напротив Vasant Vihar, Vasant Vihar, Нью-Дели, Дели 110057

Вызов скорой помощи

+91 98732 06761