Adult vur

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The ongoing morbidity of VUR relates primarily to the development of reflux nephropathy, which may include impaired renal function and growth, hypertension, as well as other renal and systemic effects. However, the likelihood of progression to end-stage renal disease is exceedingly low. Reflux nephropathy is thought to result from renal scarring, for which younger patients are most at risk, but because of their irreversible nature, are most prevalent in adults.

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See hospital and staff awards. Winchester Hospital was the first community hospital in the state to achieve Magnet designation, recognition for nursing excellence. Learn why.

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These pages describe Vesico-ureteral reflux VUR and why it happens. Reflux occurs when urine travels up the ureter from the bladder towards the kidney while the bladder is emptying. It is not always found soon after birth, but may be found in childhood or discovered in adults. It may never cause trouble for some people.

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It is important to understand that not all patients with urinary tract infections and vesicoureteral reflux develop reflux nephropathy. Renal pyramids are of two types, simple and compound. Grossly the kidneys are small and irregularly contracted, with renal pelves and ureteral dilation with thickened walls.

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Vesicoureteric reflux VUR is the term for abnormal flow of urine from the bladder into the upper urinary tract and is typically encountered in young children. For grading of vesicoureteric reflux, please refer to vesicoureteric reflux grading. Reflux from the bladder into the upper urinary tract predisposes to pyelonephritis by allowing entry of bacteria to the usually sterile upper tract.

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Giovanni Bosco, Torino, Italy. Vesicoureteral reflux VUR may be congenital or acquired. Its prevalence in adults is not exactly known, but it is higher in women, whose greater propensity for urinary tract infections increases the likelihood of an instrumental examination leading to the diagnosis of less severe cases.

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AIM: To identify the risk factors predictive for renal dysfunction in adults with primary VUR after long-term follow-up. The patients were interviewed after mean 21 years from the first episodes of VUR 8 to 32 years. Renal function was determined from the estimated glomerular filtration rate eGFR.

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Thirty two patients 12 female, 20 male with a total of 50 renal units were treated for vesicoureteral reflux. The success of treatment was evaluated by voiding cystouretrography at 3rd and 12th months after subureteric injection. The persistence of reflux was considered as failure.

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