Munson Health
 
Vesicoureteral Reflux -- Child

Back to Document

by Lyons S

(VUR—Child; Reflux Nephropathy—Child; Chronic Atrophic Pyelonephritis—Child; Vesico-Ureteric Reflux—Child; Ureteral Reflux—Child)

 

Symptoms

  • Frequent and urgent need to urinate
  • Passing small amounts of urine
  • Pain in the abdomen or pelvic area
  • Burning sensation during urination
  • Cloudy, bad-smelling urine
  • Increased need to get up at night to urinate
  • Blood in the urine
  • Leaking urine
  • Low back pain or pain along the side of the ribs
  • Fever and chills
 

Diagnosis

The doctor will ask about your child’s symptoms and medical history. A physical exam will be done. Tests may include:
  • Blood tests—to assess how well the kidneys are functioning
  • Urine tests—to look for evidence of an infection or damage to the kidneys
  • Ultrasound —a test that uses sound waves to examine the kidney and bladder
  • CT scan —a type of x-ray that uses computers to make pictures of structures in the body
  • Voiding cystourethrogram (VCUG)—a liquid that can be seen on x-rays is placed in the bladder through a catheter; x-rays are taken when the bladder is filled and when urinating
    • Note: This test is not done routinely in children aged 2-24 months.
  • Radionuclide cystogram (RNC)—a test like VCUG, but uses a different kind of liquid to obtain images
  • Intravenous pyelogram —also uses a liquid that can be seen on x-rays; images are taken as the substance travels from the blood (after being injected into a vein) into the kidneys and bladder
  • Nuclear scans—a variety of tests using radioactive materials injected into a vein or the bladder to show how well the urinary system is working
The doctor will grade your child’s condition. The grading scale ranges from 1 (mild) to 5 (severe).
 

RESOURCES

National Kidney Foundation
http://www.kidney.org

Urology Care Foundation
http://www.urologyhealth.org

 

CANADIAN RESOURCES

BC Health Guide
http://www.bchealthguide.org

The Kidney Foundation of Canada: British Columbia Branch
http://www.kidney.bc.ca

 

References


Valla JS, Steyaert H, Griffin SJ, et al. Transvesicoscopic Cohen ureteric reimplantation for vesicoureteral reflux in children: a single-centre 5-year experience. J Pediatr Urol. 2009;5(6):466-71.


Vesicoureteral reflux. Children’s Hospital Boston website. Available at: http://www.childrenshospital.org/az/Site1962/mainpageS1962P0.html. Accessed June 29, 2010.


Vesicoureteral reflux (VUR). Cincinnati Children’s website. Available at: http://www.cincinnatichildrens.org/health/info/urinary/diagnose/vesicoureteral-reflux.htm. Accessed June 29, 2010.


Vesicoureteral reflux. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 2010. Accessed July 13, 2010.


4/1/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Choosing wisely. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 26, 2014. Accessed April 1, 2014.

 

Revision Information