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         Vesicoureteral Reflux:     more books (23)
  1. The Official Patient's Sourcebook on Vesicoureteral Reflux: A Revised and Updated Directory for the Internet Age by Icon Health Publications, 2002-07
  2. Vesicoureteral Reflux and Pyelonephritis by John A. Hutch, Arjan D. Amar, 1972-12
  3. Management of Vesicoureteric Reflux (International Perspectives in Urology)
  4. 100 Q and A's About Vesicoureteral Reflux Vur (100 Q&As About) by Elder, 2011-01
  5. The Changing Concepts of Vesicoureteral Reflux in Children
  6. Vesicoureteral reflux: An entry from Thomson Gale's <i>Gale Encyclopedia of Children's Health: Infancy through Adolescence</i> by Rosalyn, MD Carson-DeWitt, 2006
  7. Voiding cystourethrogram needed for UTI. (Checking for Vesicoureteral Reflux).(urinary tract infection diagnosis): An article from: Pediatric News by Timothy F. Kirn, 2003-03-01
  8. Some voiding cystourethrographies unnecessary: low-grade vesicoureteral reflux, no scars.(Clinical Rounds): An article from: Pediatric News by Patrice G.W. Norton, 2003-12-01
  9. Endoscopic therapy aids vesicoureteral reflux: successful results suggest VUR treatment guidelines be updated to include this bulking-agent therapy.(Urology)(Vesicoureteral ... An article from: Internal Medicine News by Sherry Boschert, 2005-01-01
  10. Vesicoureteral reflux and its treatment by Chester C Winter, 1969
  11. Gale Encyclopedia of Medicine: Vesicoureteral reflux by Rosalyn Carson-DeWitt MD, 2002-01-01
  12. Vesicoureteral reflux during the voiding phase resolves more quickly: timing matters.(Clinical Rounds): An article from: Pediatric News by Patrice G.W. Norton, 2004-03-01
  13. Vesicoureteral reflux screening in children is safe and may get easier.(Clinical Rounds): An article from: Family Practice News by Betsy Bates, 2007-09-15
  14. Vesicoureteral reflux highly responsive to Deflux: 76% resolution with one injection.(Clinical Rounds): An article from: Pediatric News by Patrice G.W. Norton, 2003-12-01

1. Digital Urology Journal: Vesicoureteral Reflux
An article about vesicoureteral reflux, what it is, the diagnosis, possible treatments and follow up.
http://www.duj.com/reflux.html
VESICOURETERAL
REFLUX The normal urinary tract is made up of the two kidneys, two ureters, a bladder and a urethra. Each of the kidneys produces urine which flows down through the ureters and into the bladder. Normally, each ureter enters the bladder at an angle that creates a tunnel through the bladder wall muscle. As the bladder fills and during emptying, this tunnel prevents any urine from backing up from the bladder into the ureter. By the end of urination, nearly all the urine has passed from the bladder and out of the body through the urethra. Vesicourteral reflux (VUR) is the congenital condition (children are born with it) in which urine backs up from the bladder and into the ureter toward the kidney. Reflux occurs in varying degrees of severity ranging from Grade I to Grade V, with Grade I being the least severe and Grade V being the most severe. Reflux may be present in one or both ureters. It is more prevalent in girls than boys (2:1). The diagnosis of reflux is made based on radiologic studies of the bladder and kidney and may be discovered in the fetus secondary to hydronephrosis , a swelling of the kidney, on prenatal ultrasound.

2. Vesicoureteral Reflux
A description of this disorder and who usually get it. A brief look at the types, testing and treatment.
http://www.niddk.nih.gov/health/kidney/summary/vesico/vesico.htm
Email To A Friend Also see:
UTI in Children
Home : Vesicoureteral Reflux
Vesicoureteral Reflux
Urine normally flows in one directiondown from the kidneys, through tubes called ureters, to the bladder. Vesicoureteral reflux (VUR) is the abnormal flow of urine from the bladder back into the ureters. VUR is most commonly diagnosed in infancy and childhood after the patient has a urinary tract infection (UTI). About one-third of children with UTI are found to have VUR. VUR can lead to infection because urine that remains in the child's urinary tract provides a place for bacteria to grow. But sometimes the infection itself is the cause of VUR. There are two types of VUR. Primary VUR occurs when a child is born with an impaired valve where the ureter joins the bladder. This happens if the ureter did not grow long enough during the child's development in the womb. The valve does not close properly, so urine backs up (refluxes) from the bladder to the ureters, and eventually to the kidneys. This type of VUR can get better or disappear as the child gets older. The ureter gets longer as the child grows, and the function of the valve improves. Secondary VUR occurs when there is a blockage anywhere in the urinary system. The blockage may be caused by an infection in the bladder that leads to swelling of the ureter. This also causes a reflux of urine to the kidneys.

3. Vesicoureteral Reflux
vesicoureteral reflux. What is the normal urinary tract? Diagram of ureter tunneling through bladder wall. What is vesicoureteral reflux?
http://www.pedisurg.com/PtEduc/Vesicoureteral_Reflux.htm
VESICOURETERAL REFLUX What is the normal urinary tract? The urinary tract consists of the kidneys, ureters, bladder and urethra. The kidneys are the organs that are responsible for filtering waste products from the bloodstream and produce urine continuously. The urine drains down tubes called ureters from the kidneys to the bladder, which normally stores urine and empties intermittently by muscular contraction. The urine exits the bladder through the urethra in a process is called voiding or urination. When the ureter enters the bladder it travels through the wall for a distance creating a tunnel so that a flap valve is created. This valve prevents urine that is in the bladder from backing up and returning into the ureter. Thus, when the bladder fills and later when it squeezes down to empty, back-up (that is, reflux of urine) is prevented because the valve operates in the same way as when you pinch off a soda straw. This valve-like action is important for several reasons:
  • prevents bacteria (that often get into the urine) from getting to the kidneys protects the ureters and kidneys from high pressures generated by the bladder during urination permits removal of all of the stored urine with a single act of urination, because the bladder urine has nowhere to go other than out the urethra

4. Report Of The Management Of Primary Vesicoureteral Reflux In Children
American Academy of Pediatrics The Report is available in PDF format from the American Urological Association.
http://www.aap.org/policy/primvesreflx.html
Practice Guideline Endorsement
Report of the Management of Primary Vesicoureteral Reflux in Children
Abstract: The American Academy of Pediatrics endorses and accepts as its policy the Report of the Management of Primary Vesicoureteral Reflux in Children The Report is available in PDF format from the American Urological Association Web site at: http://www.auanet.org/publications/clinical_guidelines/vesi_reflux.pdf
The recommendations in this statement do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.
Return to AAP Policy Statements - Table of Contents

5. EMedicine - Vesicoureteral Reflux : Article By Jong M Choe, MD, FACS
vesicoureteral reflux vesicoureteral reflux (VUR) is characterized by the retrograde flow of urine from the bladder to the kidneys. vesicoureteral reflux.
http://www.emedicine.com/med/topic2838.htm
(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Urology
Vesicoureteral Reflux
Last Updated: February 11, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: VUR, reflux nephropathy, retrograde transmission of urine from the urinary bladder to the kidneys, reflux, pyelonephritis, hypertension, progressive renal failure, ureteral reimplantation AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Indications Relevant Anatomy And Contraindications ... Bibliography
Author: Jong M Choe, MD, FACS , Director of Continence and Urodynamic Center, Assistant Professor, Department of Surgery; Division of Urology, University of Cincinnati Coauthor(s): John Benedict, MD , Staff Physician, Department of Surgery, Division of Urology, University of Cincinnati Jong M Choe, MD, FACS, is a member of the following medical societies: American Association of University Professors American College of Surgeons American Medical Association American Urological Association ... International Continence Society , Ohio Urological Society, and Society of University Surgeons Editor(s): Daniel B Rukstalis, MD

6. Vesicoureteral Reflux Hub
A brief definition, followed by links to overviews, full text articles, and research studies.
http://www.projectlinks.org/reflux
Vesicoureteral reflux is the abnormal flow of urine from the bladder back into the ureters. It is most commonly diagnosed in infancy and childhood after the patient has a urinary tract infection. Infection is the most common symptom of vesicoureteral reflux. As the child gets older, other symptoms may appear, such as bedwetting, high blood pressure, protein in the urine, and kidney failure. Vesicoureteral Reflux by National Kidney and Urologic Diseases Information Clearinghouse - from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Vesicoureteral Reflux from eMedicine Journal - by Jong M Choe, MD, FACS, Director of Continence and Urodynamic Center, Assistant Professor, Department of Surgery, Division of Urology, University of Cincinnati College of Medicine. Vesicoureteral Reflux by Laurence S. Baskin, M.D. - from Pediatric Urology Clinical Program at UCSF. Surgery vs. Medical Management for High Grade Vesicoureteral Reflux - by Matthew Eisenberg, MD., University of Washington. Vesicoureteral Reflux by Jeff Van Beek, M.D.

7. EMedicine - Vesicoureteral Reflux : Article By Caleb P Nelson, MD
vesicoureteral reflux vesicoureteral reflux (VUR), or the retrograde flow of urine from the bladder into the ureter, is an anatomic and functional disorder
http://www.emedicine.com/ped/topic2750.htm
(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics Urology
Vesicoureteral Reflux
Last Updated: May 16, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: VUR reflux, retrograde flow of urine from the bladder into the ureter, primary reflux, secondary reflux, reflux nephropathy, intrarenal reflux, pyelonephritis, hydronephrosis, urinary tract infection, UTI AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography
Author: Caleb P Nelson, MD , Staff Physician, Department of Surgery, Section of Urology, University of Michigan Medical Center Coauthor(s): Harry P Koo, MD , Director of Pediatric Urology, Medical College of Virginia, Director of Urology, Children's Hospital of Richmond, Associate Professor, Department of Surgery, University of Michigan at Ann Arbor Caleb P Nelson, MD, is a member of the following medical societies: American Urological Association Editor(s): Bartley G Cilento, Jr, MD

8. PedsUroLogic - Vesicoureteral Reflux
vesicoureteral reflux. by. Richard M. Parker, M.D. If your child has vesicoureteral reflux urine is moving in the wrong direction, and has backed up from the bladder into the ureters and kidneys.
http://www.pedsurologic.com/Parker/Pamphlets/VCUReflux/VCUReflux.html
Vesicoureteral Reflux
by
Richard M. Parker, M.D.
If your child has vesicoureteral reflux... urine is moving in the wrong direction, and has backed up from the bladder into the ureters and kidneys. The condition varies in severity, from mild or grade I , with urine backing up into the lower ureter, to severe or grade V , where urine back up into a swollen kidney. Urine is produced in the kidneys and normally flows into the ureters and bladder. Upon urination, it goes through the urethra and is eliminated from the body. A valve mechanism located where the ureter enters the bladder prevents urine from backing up from the bladder into the ureters when the bladder empties. An abnormality in this valve may cause urine to flow back into the ureters. This abnormality is usually the result of a short length of ureter as it goes through the bladder. Reflux is usually a congenital condition (children are born with it). Other less common causes of reflux include blockage to the bladder, abnormal urination with very high pressure within the bladder, dysfunctional voiding, or urinary tract infections Diagnosis requires an x-ray...

9. Virtual Children's Hospital: Urology: Pediatric Urology: Vesicoureteral Reflux
A description of vesicoureteral reflux along with information such as how to tell if your child has this, what it does, if surgery is necessary and the types.
http://www.vh.org/Patients/IHB/Uro/Peds/RefluxUreteralReimplant.html
Urology
What is Vesicoureteral Reflux?
Christopher S. Cooper, M.D., Pediatric Urologist
Peer Review Status: Internally Peer Reviewed
First Published: January 2000
Last Revised: May 2000 What is reflux?
Vesicoureteral reflux describes a condition where the urine goes backwards from the bladder into the tubes ("ureters") that usually bring urine from the kidneys. This occurs when there is an abnormal insertion of the ureter through the bladder wall into the inside of the bladder. Some children with abnormally high pressures in the bladder also have reflux despite a normal insertion of the ureter into the bladder.
How do I know if my child has reflux?
Many children with reflux will develop a urinary tract infection. As part of the usual evaluation of a child with a urinary tract infection, a special study called a "voiding cystourethrogram" or "VCUG" should be performed. A VCUG is done by placing a catheter in the bladder and filling the bladder with contrast material that can be seen on an X-ray. If the child has reflux the X-ray will show the contrast material move out of the bladder and go up into the ureter (this often happens when the child urinates). About a third of the siblings of a child with reflux will also have reflux. A screening cystogram of siblings is therefore recommended even if they have not had a urinary tract infection. Other children are found to have a dilated kidney on prenatal ultrasound and a VCUG obtained after birth detects reflux.
What does reflux do?

10. Michigan Urology Center Redirect
A look at the normal urinary tract followed by vesicoureteral reflux, its problems, evaluation, non operative management, surgical correction and follow up.
http://www.um-urology.com/patients/reflux.html
The MICHIGAN UROLOGY CENTER formerly known as UMHS Department of Urology site has been moved. You will be redirected to the new home pages in a few seconds. Be sure and bookmark the new page If you are not redirected to the new new home page, click click here The UMHS Department of Urology site has been moved. You will be redirected to the new home pages in a few seconds. Be sure and bookmark the new page If you are not redirected to the new new home page, click click here

11. Pediatric Urology - Vesicoureteral Reflux - Urologychannel
vesicoureteral reflux is a pediatric urology disorder. The main problem with reflux is that it exposes the kidneys to infection. In children, particularly those in the first few years of life, Secondary reflux is often caused by urinary tract infection (e.g UTI may cause vesicoureteral reflux or vesicoureteral reflux may promote the growth of bacteria in the urinary tract
http://www.urologychannel.com/pediatric/vur.shtml
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PEDIATRIC UROLOGY
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Antenatal

Hydronephrosis
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Nocturnal Enuresis Undescended Testicle Ureteropelvic Junction Obstruction Vesicoureteral Reflux Find a Urologist CONDITIONS Adrenal Cancer Bladder Cancer Bladder Control Problems BPH/Enlarged Prostate Emergencies Erectile Dysfunction Female Sexual Dysfunction Hematuria Incontinence Interstitial Cystitis Kidney Cancer ... Testosterone Deficiency Upper Tract Tumors Urethral Cancer Urinary Tract Infection Varicocele Vasectomy RESOURCES urologychannelMD Anatomy Clinical Trials Education ... What Is a Urologist? Videos ABOUT US Healthcommunities.com Pressroom Testimonials print this ... email this Overview Vesicoureteral reflux (VUR) is the backup of urine from the organ that stores urine (bladder) into the tube that carries urine from the kidney to the bladder (ureter) during urination. VUR may result in urine reflux into the renal pelvis, causing distention (hydronephrosis) and kidney damage. In children, this condition is usually caused by an abnormality that is present at birth (congenital) and is often diagnosed during prenatal ultrasound. Types There are two types of VUR: primary and secondary. Primary reflux is caused by a congenital (present at birth) abnormality, and secondary reflux is caused by a urinary tract infection (

12. Vesicoureteral Reflux  What Is Vesicoureteral Reflux
A definition of vesicoureteral reflux, the main concerns, prognosis and the use of antibiotic prophylaxis.
http://www.kids-urology.com/reflux.html
Vesicoureteral Reflux
What is vesicoureteral reflux? Vesicoureteral reflux is the abnormal condition of backwash of urine from the bladder up the ureter(s) towards the kidney(s). Reflux can be primary (related to abnormal anatomic relationship between the ureter and bladder) or secondary (related to abnormal urinating or neurologic abnormalities that affect bladder function). The main concern with reflux is the potential for kidney infections, and ultimately kidney damage, over time if not properly managed. With kidney damage, kidney function can deteriorate and other problems, such as high blood pressure, can develop. In some cases reflux may go away over time, with the chances of this based on the grade of the reflux. Grade 1 reflux is minimal reflux and commonly resolves over time, while grade 5 reflux almost never goes away by itself. In almost all cases, initial management of reflux consists of medical therapy, with the purpose of preventing urinary tract infections while waiting to see if the reflux will resolve. If medical therapy is not effective, or the reflux does not resolve, surgical management becomes an option and may be necessary to correct the reflux and help protect the kidneys. The following are the key components of medical therapy for vesicoureteral reflux 1. Antibiotic prophylaxis

13. Vesicoureteral Reflux - DrGreene.com - Caring For The Next Generation
Dr. Greene talks about vesicoureteral reflux also known as kidney reflux
http://www.drgreene.com/21_1218.html
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Vesicoureteral Reflux
Related concepts:
Kidney reflux Introduction:
Antibiotics are overused . In recent years, we have become increasingly cautious about their misuse. When parents hear that long-term, daily antibiotics might be recommended for their children with reflux just to prevent urinary tract infections , they are often concerned. But protecting the kidneys can be an excellent reason to take antibiotics.

14. Pediatric Oncall- Vesicoureteral Reflux (VUR)
Find out more about vesicoureteral reflux and answers to commonly asked questions.
http://www.pediatriconcall.com/forpatients/CommonChild/vur.asp
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VESICO URETERAL REFLUX (VUR) My daughter aged 5 years gets repeated urinary infections. I have been told that she has VUR. What is VUR?
VUR is a short form of vesicoureteral reflux which means that urine from the urinary bladder regurgitates or goes back into the ureters (the tubes that connect kidneys to urinary bladder) instead of flowing out of the urethra (tube that allows flow of urine to the outside form the bladder). In severe cases the urine which is in the bladder reaches back in the kidneys. Why does VUR occur?
VUR occurs either as a defect in the development of opening of ureter in the urinary bladder from birth when it is called as primary VUR, or secondary due to the obstruction in the bladder or urethra which causes back pressure and opens the junction/s between bladder and ureters

15. Vesicoureteral Reflux
Home Kidney Urologic Diseases AZ List of Topics and Titles vesicoureteral reflux. vesicoureteral reflux. Additional Information on vesicoureteral reflux.
http://kidney.niddk.nih.gov/kudiseases/pubs/vesicoureteralreflux/
Email To A Friend Also see:
UTI in Children
Home : Vesicoureteral Reflux
Vesicoureteral Reflux
Urine normally flows in one directiondown from the kidneys, through tubes called ureters, to the bladder. Vesicoureteral reflux (VUR) is the abnormal flow of urine from the bladder back into the ureters. VUR is most commonly diagnosed in infancy and childhood after the patient has a urinary tract infection (UTI). About one-third of children with UTI are found to have VUR. VUR can lead to infection because urine that remains in the child's urinary tract provides a place for bacteria to grow. But sometimes the infection itself is the cause of VUR. There are two types of VUR. Primary VUR occurs when a child is born with an impaired valve where the ureter joins the bladder. This happens if the ureter did not grow long enough during the child's development in the womb. The valve does not close properly, so urine backs up (refluxes) from the bladder to the ureters, and eventually to the kidneys. This type of VUR can get better or disappear as the child gets older. The ureter gets longer as the child grows, and the function of the valve improves. Secondary VUR occurs when there is a blockage anywhere in the urinary system. The blockage may be caused by an infection in the bladder that leads to swelling of the ureter. This also causes a reflux of urine to the kidneys.

16. Children's Hospital Boston - Department Of
Information on the diagnosis and treatment of vesicoureteral reflux in children provided by the Department of Urology.
http://www.childrenshospital.org/urology/reflux.html
Children's Hospital Boston

The information on this website should not be taken as medical advice,
which can only be given to you by your personal health care professional. Updated 06/02/2004

17. Vesicoureterial Reflux
vesicoureteral reflux. About 20% of the children who experience urinary tract infection will be found to have vesicoureteral reflux on xray.
http://www.ucch.org/sections/urology/inforesource/reflux.html
Information for Patients UCCH HealthPages
[Return to main]
Vesicoureteral Reflux
About 20% of the children who experience urinary tract infection will be found to have Vesicoureteral Reflux on x-ray. Reflux is a condition where urine flows back up the ureters in the wrong direction and into the kidney during urination. The condition is present from birth and does run in families.
Normal Function of the Urinary Tract:
  • Urine originates in the kidneys. Urine then passes from the kidney through the tubes called ureters and is stored in the bladder. During urination, the bladder contracts as urine flows out of the body through the urethra. See Figure 1.
Figure 1 Normally, the ureter passes through a tunnel inside the bladder wall for a distance before it opens into the bladder. Pressure from urine filling the bladder should close off this tunnel within the bladder wall. This "closing off," prevents urine from flowing back up into the kidneys. See Figure 2. Figure 2 Figure 3 If the tunnel is too short or the opening is too large the ureter may not squeeze shut properly and urine will freely reflux or pass backwards toward the kidney during urination. Reflux of infected urine toward the kidney can cause a serious kidney infection, called pyelonephritis, and can cause damage to the kidney and high blood pressure later in life. See Figure 3.

18. Vesicoureteral Reflux
vesicoureteral reflux. What is Vesicouretral Reflux? Urine is waste fluid excreted by the kidneys. Urine passes from kidneys, down
http://www.pedsurology.com/vesicour.htm
Vesicoureteral Reflux What is Vesicouretral Reflux? Urine is "waste fluid" excreted by the kidneys. Urine passes from kidneys, down the ureters and into the urinary bladder. The bladder is an elastic muscle that acts as a storage tank. As the bladder fills, its walls relax to hold more urine, and the control (sphincter) muscle remains tight to prevent leakage of urine. Normally, the urine is prevented from going back up the ureters toward the kidneys by a valve where the ureters and bladder meet. When the valve is inadequate and allows urine to flow back up into the ureters, this condition is known as reflux. About one out of three children who have urinary tract infections are found to have reflux. Reflux is a condition people are born with and it tends to run in families. If your child has reflux, other siblings may have a 7 - 43% of having reflux depending on the age of the sib. It may suggest that other family members also be checked for reflux. Is Reflux Dangerous? Most urinary tract infections stay in the bladder. When a child has reflux, the bacteria have direct access to the kidneys and cause a kidney infection (pyelonephritis). This can result in damage to the kidneys and, in some other children, early onset of hypertension.

19. UrologyHealth.org - Pediatric Conditions - Abnormalities - Vesicoureteral Reflux
vesicoureteral reflux. Urine About onethird of children with urinary tract infections are found to have vesicoureteral reflux (VUR). The
http://www.urologyhealth.org/pediatric/index.cfm?cat=01&topic=155

20. Vesicoureteral Reflux - Information / Diagnosis / Treatment / Prevention
home urological disorders vesicoureteral reflux vesicoureteral reflux. vesicoureteral reflux A description of this disorder and who usually get it.
http://www.healthcyclopedia.com/urological-disorders/vesicoureteral-reflux.html

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Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "vesicoureteral reflux"
Health News: Search millions of published articles for news on Vesicoureteral Reflux Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: Children's Hospital in Iowa A description of vesicoureteral reflux along with information such as how to tell if your child has this, what it does, if surgery is necessary and the types. Children's Hospital, Boston: Patient Care

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