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Understanding Vesicoureteric Reflux

Vesicoureteric reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and kidneys. This backflow exposes the kidneys to bacteria from the bladder, which can lead to recurrent kidney infections (pyelonephritis) and permanent renal scarring.

Causes of Vesicoureteric Reflux

VUR can be classified into two primary types:

  • Primary VUR: A congenital defect where the ureter enters the bladder wall too straight, failing to form a proper one-way valve.
  • Secondary VUR: Caused by abnormally high pressures in the bladder due to blockages (like PUV) or nerve damage (neuropathic bladder).

Signs of Vesicoureteric Reflux

Common signs and symptoms include:

  • Recurrent UTIs: Frequent urinary infections, often accompanied by high fevers.
  • Antenatal Hydronephrosis: Swollen kidneys detected on pregnancy ultrasounds.
  • Voiding Symptoms: Urgency, frequency, or burning during urination in older children.

Advanced Care

Treatment Options

STING (Deflux) Procedure

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

Robotic Ureteral Reimplantation

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

Antibiotic Prophylaxis

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

Clinical Path

The Surgical Process

01

Diagnostic Mapping

VUR is graded using a Micturating Cystourethrogram (MCU) scan, and kidney function is assessed using a DMSA scan.

02

Deflux Injection / Surgery

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

03

Follow-up Scan

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

Success Stories

Hear From The Parents

"Our daughter was having high-grade reflux causing kidney infections. Dr. Sujit performed a STING procedure. No cuts, and she was home the same day."

Neeta Sharma
Mother of 3yo patient

"Robotic ureteral reimplantation for bilateral VUR was a huge success. Our child is completely infection-free now. Thank you, Dr. Chowdhary."

Rajesh K.
Father

"Very scientific approach to reflux management. We avoided unnecessary long-term antibiotics thanks to timely surgical correction."

Sonia Mehta
Mother

"The precision in Dr. Chowdhary's surgery is incredible. His confidence gave us immense peace of mind during a very stressful time."

Anita Sharma
Mother

"We traveled from another city just for Dr. Chowdhary. His approach is very scientific and methodical yet very caring."

Karan Singh
Parent
Dr. Sujit Chowdhary

Urological Specialist

Why Choose Dr. Sujit Chowdhary?

Vesicoureteral reflux (VUR) requires specialized care to prevent renal complications. Minimally invasive treatments offer excellent success with quick recovery.

  • Specialist in minimally invasive STING procedure for VUR.
  • High success rates in endoscopic and open ureteral reimplantation.
  • Advanced diagnostic scans and specialized pediatric urology clinic.
  • Focus on preserving kidney function and preventing UTIs.
  • Compassionate care and support for families throughout the process.
Learn More About Doctor

Common Queries

Frequently Asked Questions

What is Vesicoureteric Reflux (VUR)?

VUR is a condition where urine flows backward from the bladder up into the ureters and kidneys, increasing infection risks.

How is VUR graded?

VUR is graded from Grade I (mild reflux into ureter only) to Grade V (severe reflux with dilation of the ureter and kidney).

Does VUR always require surgery?

No, lower grades (I-III) often resolve spontaneously as the child grows. They are managed with low-dose prophylactic antibiotics.

What is the endoscopic STING procedure?

It is a daycare procedure where a bulking agent (like Deflux) is injected under the ureteric opening to prevent backflow.

When is open or robotic ureteral reimplantation surgery needed?

It is needed for high-grade reflux, failure of endoscopic treatment, or breakthrough kidney infections.

What is ureteral reimplantation?

It is a surgical procedure to change the path of the ureters into the bladder wall to create a functional one-way valve.

Can VUR cause kidney damage?

Yes, recurrent UTIs associated with untreated VUR can lead to renal scarring, high blood pressure, and impaired kidney function.

Get in Touch

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Endoscopic STING injections and robotic reimplantation offer high cure rates for VUR. Schedule a consultation today.

Clinic Address

D6, Club, 2, opposite Vasant Vihar, Vasant Vihar, New Delhi, Delhi 110057

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+91 98732 06761

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