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Most children with vesicoureteral reflux are asymptomatic. Vesicoureteral reflux may be diagnosed as a result of further evaluation of dilation of the kidney or ureters draining urine from the kidney while in utero as well as when a sibling has VUR (though routine testing in either circumstance is controversial).
The aim of treatment is to reduce renal scarring. Those children with grade II or worse should receive low dose prophylactic antibiotics (Nitrofurantoin, trimethoprim, cotrimoxazole, cefalexin in those with CRF). Hypertension should be managed with ACE inhibitor or ARBs. Other treatment modalities include surgery (endoscopic injection of ...
Children may have painful micturition after the procedure, which can lead to urinary retention (children afraid to pee due to pain). Some painkillers or peeing inside a warm bath may help. Those children who receive antibiotics before the procedure for urinary tract infection will double the dose for 3 days after the procedure.
Prior to surgery, the bowels are typically cleared with a routine called bowel prep. [20] Bowel prep can be performed at home the 1–2 days before surgery or in some instances, occurs in a hospital before the operation. [20] Bowel prep may require magnesium citrate drink to empty the colon. [21] Bowel prep is done to reduce infection risk. [22]
[4] [6] Those with severe disease may require treatment in hospital. [2] In those with certain structural problems of the urinary tract or kidney stones, surgery may be required. [1] [3] Pyelonephritis affects about 1 to 2 per 1,000 women each year and just under 0.5 per 1,000 males.
The hallmark sign of urethral stricture is a weak urinary stream. Other symptoms include: [2] Splaying of the urinary stream; Urinary frequency; Urinary urgency; Straining to urinate; Pain during urination; Urinary tract infection; Prostatitis; Inability to completely empty the bladder. Some people with severe urethral strictures are completely ...