surgical treatment
Urinary tract diseases in children differ, including what is treated in a short period and another that requires a longer period, and this depends on the stage of discovery of the disease and the accuracy of the diagnosis of the condition and if it was treated by a specialist consultant or not .. Among these diseases that children suffer is what is known as urinary reflux that will tell us About him in this medical meeting
Dr. Khaled Fouda is a pediatric urologist consultant at Dr. Sulaiman Al Habib Medical Center.
Urinary recoil
Causing a weak valve between the lower ureter and the bladder
Dr. Khaled Do you have a beginning to explain to us what is meant by urinary reflux in children, and what are its causes?
Urinary reflux is the return of urine from the bladder again to the ureter and kidney, due to a weakness in the physiological valve located between the lower ureter and the bladder .. It is often because of the short end of the ureter inside the bladder and there are other secondary causes, the most important of which is the high pressure inside the bladder.
The inability to empty the entire urine causes inflammation of the urine
How is the beginning of urinary reflux disease?
Diagnosis of urinary reflux is often after an infection in the urine that accompanies the rise in temperature due to the presence of some bacteria in the bladder that is transmitted due to the reflux to the kidney, and there are other factors that help the occurrence of inflammation such as the inability to empty the complete urine, high pressure in the bladder, its increased expansion and constipation Chronic.
Urinary recoil
It causes urinary tract infections
What is the importance of the occurrence of urinary recoil?
The most important problem that occurs due to reflux of urine is the occurrence of infections in the urinary system and in the kidney. In the case of the recurrence of such infections in the kidney, there may be cirrhosis in the kidney, which may affect the child with kidney failure in the event of not initiating treatment in the correct way early.
For urinary recoil five degrees
How is urinary reflux diagnosed and what are its degrees?
The most important examination to diagnose the bladder is the work of colored rays on the bladder by placing a catheter inside the bladder and injecting the dye material in the case of suspicion of a reflux with urinary infections .. And for the reversion of five degrees, the weakest is the first degree and the most severe is the fifth degree and it can happen in one of the ureters or ureters .
Diagnosing urinary inflammation requires microscopic examinations
What are the symptoms of urinary infections associated with reflux?
Urinary inflammation is diagnosed by asking parents about its coincidence, intensity, and type, and if it is associated with high temperature and urinary symptoms such as urgency, frequent urination and urinary incontinence, and about the presence of a problem in defecation such as constipation, followed by a comprehensive clinical examination based on the urinary and nervous system and urinary analyzes that include microscopic and transplanted examination of the natural or sipped urine. From the bladder with a needle or catheter and determine the number of germs and their sensitivity to antibiotics, followed in some cases by examination
Radiology, which is based on ultrasound of the kidneys and bladder, and bladder coloring.
What are the ways of preventing recurrent infections of urine?
In the event of a reflux in the urine, the child is given an antibiotic that protects against inflammation .. As for the absence of a reflux in the urine, we advise the family to accustom the child to drinking too much water, frequent hesitation on the bathroom, and increase the number of foods with fibers to prevent constipation, while instructing the child to the correct way to sit in the bathroom. .
Treatment depends on
Urinary recoil condition
How can urinary recoil be treated?
The primary goal of treatment is to prevent the occurrence of kidney scarring with its severe consequences in the future resulting from urinary infections .. The beginning is often by giving the child an antibiotic and anti-inflammatory .. In the case of repeated infections despite the counter or continued reflux for a long time or severe scarring in the kidney or For the reflux to be of a high degree we move to the surgical option.
The most commonly used ureteral implant surgery previously
What are the surgical options for treating urinary reflux?
The surgical procedure known previously for the implantation of the ureter in the bladder was the most used for such cases, but with the development of endoscopic surgeries and the materials used in the treatment of urinary reflux, the injection of molds with special materials through the endoscope became the most used for the surgical treatment of urinary reflux and it is one of the recent and important developments in Treatment of urinary reflux, and the rate of success of the endoscopic operation is higher than 80% - God willing - and there are no significant complications and it is one-day operations that take up to fifteen minutes.
