Treatments for Vesicoureteral reflux
Treatments for Vesicoureteral reflux
The list of treatments mentioned in various sources
for Vesicoureteral reflux
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Vesicoureteral reflux: Research Doctors & Specialists
- Urinary & Bladder Specialists (Urology):
- Kidney Health Specialists (Nephrology):
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Hospital statistics for Vesicoureteral reflux:
These medical statistics relate to hospitals, hospitalization and Vesicoureteral reflux:
- 0.1% (12,789) of hospital consultant episodes were for obstructive and reflux uropathy in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 83% of hospital consultant episodes for obstructive and reflux uropathy required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 56% of hospital consultant episodes for obstructive and reflux uropathy were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 44% of hospital consultant episodes for obstructive and reflux uropathy were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
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Hospitals & Medical Clinics: Vesicoureteral reflux
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Discussion of treatments for Vesicoureteral reflux:
The goal for treatment of VUR is to prevent any kidney damage from
occurring. Infections should be treated at once with antibiotics to
prevent the infection from moving into the kidneys. Antibiotic therapy
usually corrects reflux caused by infection. Sometimes surgery is needed
to correct primary VUR.
(Source: excerpt from
Vesicoureteral Reflux: NIDDK)
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Book Excerpts: Treatment of Vesicoureteral reflux
Treatments of Vesicoureteral reflux: Online Medical Books
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Urinary Stream (Decreased):
Treatment
(In a Page: Signs and Symptoms)
-
Initial evaluation for urinary retention, which must be treated immediately with catheterization to prevent additional injury and relieve pain; thereafter, evaluation and treatment of infection and pain is indicated
-
BPH: “Watchful waiting,” α-blockers, 5α-reductase inhibitors, TURP or other transurethral procedures, and/or open prostatectomy
-
Urethral stricture: Dilation, lysis, open surgical repair
-
Chronic urethritis/prostatitis: Long-term antibiotics
-
Prostate cancer may require prostatectomy or no intervention, depending on stage of the cancer and patient issues (e.g., age, co-morbid conditions)
-
Bladder cancer: Transurethral resection, intravesical chemotherapy; radical cystectomy for late disease, external radiation, and/or systemic chemotherapy
-
Neuropathic bladder: Parasympatholytic medications, intermittent or permanent catheterization, or surgical options (section of sacral nerve roots, ureteral diversion, and/or artificial sphincter)
>>
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Vesicoureteral reflux:
Treatment
(Professional Guide to Diseases (Eighth Edition))
The goal of treatment in a patient with vesicoureteral reflux is to prevent pyelonephritis and renal dysfunction with antibiotic therapy and, when necessary, vesicoureteral reimplantation. Appropriate surgical procedures create a normal valve effect at the junction by reimplanting the ureter into the bladder wall at a more oblique angle.
Antimicrobial therapy is usually effective for reflux that’s secondary to infection, reflux related to neurogenic bladder and, in children, reflux related to a short intravesical ureter (which abates spontaneously with growth). Reflux related to infection generally subsides after the infection is cured. However, 80% of females with vesicoureteral reflux will have recurrent UTIs within a year. Recurrent infection requires long-term prophylactic antibiotic therapy and careful patient follow-up (cystoscopy and excretory urography every 4 to 6 months) to track the degree of reflux.
UTI that recurs despite adequate prophylactic antibiotic therapy necessitates vesicoureteral reimplantation or reconstructive repair. Bladder outlet obstruction in neurogenic bladder requires surgery only if renal dysfunction is present. After surgery, as after antibiotic therapy, close medical follow-up is necessary (excretory urography every 2 to 3 years and urinalysis once per month for 1 year), even if symptoms haven’t recurred.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Introduction: Renal and Urologic Disorders:
Treatment methods
(Professional Guide to Diseases (Eighth Edition))
Treatment of intractable renal or urinary system dysfunction may require urinary diversion, dialysis, or kidney transplantation. Urinary diversion is the surgical creation of an outlet for excreting urine. The types of urinary diversion include ileal conduit, cutaneous ureterostomy, ureterosigmoidostomy, and creation of a rectal bladder.
In dialysis, a semipermeable membrane, osmosis, and diffusion imitate normal renal function by eliminating excess body fluids, maintaining or restoring plasma electrolyte and acid-base balance, and removing waste products and dialyzable poisons from the blood. Dialysis is most often used for patients with acute or chronic renal failure. The two most common types of dialysis are peritoneal dialysis and hemodialysis.
In peritoneal dialysis, a dialysate solution is infused into the peritoneal cavity. Substances then diffuse through the peritoneal membrane. Waste products remain in the dialysate solution and are removed.
Hemodialysis separates solutes by differential diffusion through a cellophane membrane placed between the blood and the dialysate solution, in an external receptacle. Because the blood must actually pass out of the body into a dialysis machine, hemodialysis requires an access route to the blood supply by an arteriovenous fistula or cannula or by a bovine or synthetic graft. When caring for a patient with such an access route, monitor the patency of the access route, prevent infection, and promote safety and adequate function. After dialysis, watch for such complications as headache, vomiting, agitation, and twitching.
Patients with end-stage renal disease may benefit from kidney transplantation, despite its limitations: a shortage of donor kidneys, the chance of transplant rejection, and the need for lifelong medications and follow-up care. After kidney transplantation, maintain fluid and electrolyte balance, prevent infection, monitor for rejection, and promote psychological well-being.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
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