Tests And Procedures
A catheter test, called voiding cysto-urethrogram (VCUG) is done to accurately diagnose vesicoureteral reflux. This test will usually take 15 to 45 minutes. Sometimes it may last longer, if your child does not void (urinate).
A radionuclide cystogram (RNC) - during which the bladder is filled with a dye that will demonstrate urine regurgitating up into the kidney. This test will usually take 15 to 45 minutes. Sometimes it may last longer, if your child does not void (urinate).
Genetic pre-disposition for having VUR - parents' offspring are also at risk for VUR. Therefore, prior to birth, an ultrasound can be done on the mother, to see if there is any swelling of the fetus' kidneys. It is shown that 10 to 20 percent of children with prenatal hydronephrosis do have VUR. Additionally, siblings of children with VUR have a 30 percent chance of having it, so screening of siblings is recommended.
After a urinary tract infection (UTI) - using a urinalysis and a urine culture, VUR is often diagnosed, as a result of a UTI.
At Boston Children's Hospital, our main goal for treating VUR is to prevent infections that might affect the kidney and possibly cause kidney damage. The Department of Urology provides a comprehensive approach to the management of vesicoureteral reflux from initial diagnosis to treatment and follow-up care.
Most commonly, we will treat your child two ways:
1. Observation on prophylactic antibiotics for varying periods of time.
2. Although the majority of reflux will get better on its own, surgery is performed to correct the reflux if:
- The grade level is high
- There is kidney damage
- Break through urinary tract infections occur, while on antibiotics
- Antibiotics for a particular child are not recommended