Overview

Vesicoureteral Reflux (VUR) is a condition in children in which urine starts flowing backwards from the bladder into the ureters or kidneys instead of moving only outwards. This backwards flow increases the risk of urinary tract infections (UTIs) and can potentially damage the kidneys if left untreated. VUR correction refers to surgical or minimally invasive procedures to restore the normal one-way flow of urine to protect the kidneys and bladder from recurrent infections and long-term complications.

Why Does VUR Correction Need to Be Done?

Recurrent UTIs: Children with frequent or severe UTIs due to VUR often require correction.
Kidney Protection: To prevent scarring, high blood pressure, or loss of kidney function.
Failure of Medical Therapy: Surgical correction becomes necessary if antibiotic prophylaxis and monitoring fail to control infections or reflux.
Improved Quality of Life: Reduces hospital visits, antibiotic dependence, and health risks.

Before Surgery

Clinical Evaluation: Detailed medical history, urine tests, and kidney function assessment.
Imaging Studies: Voiding cystourethrogram (VCUG), ultrasound, or nuclear scans to confirm the severity of reflux.
Pre-Operative Instructions: Fasting guidelines, stopping certain medications, and child-friendly counselling for parents and child.

What to Expect During Surgery

Several techniques are available as options depending on the grade of reflux and the child’s condition:

1. Endoscopic Injection (Minimally Invasive):

A bulking agent (gel-like material) goes inside near the ureter’s opening in the bladder under the supervision of experienced urologists.
Helps prevent the backwards flow of urine.
Done via cystoscopy, usually as a daycare procedure.

2. Open Ureteral Reimplantation:

Although it is a traditional method, it is highly effective in yielding the desired outcomes.
The ureters are repositioned into the bladder wall to restore the natural anti-reflux mechanism.

3. Laparoscopic / Robotic Surgery:

Advanced approach with smaller incisions, faster recovery, and less post-operative pain.
Doctors may select any of these options based on the severity of reflux, the child's age, and overall health.

After Surgery

Hospital Stay: Endoscopic procedures may require only a few hours, while open/laparoscopic surgeries may require 1–3 days.
Post-Operative Care: IV fluids, pain relief, and antibiotics to prevent infection.
Follow-Up: Repeat imaging may be required after recovery to confirm correction.
Return to Normal Activity: Most children resume routine activity within 1–2 weeks.

Benefits & Risks

Benefits

Reduced risk of kidney infections and scarring.
Better bladder-kidney coordination.
Improved long-term kidney health.
Decreased dependency on prolonged antibiotics.

Risks (though uncommon)

Bleeding or infection.
Blockage at the site of ureter reimplantation.
Persistence or recurrence of reflux.

Recovery & Precautions

Adequate hydration is encouraged to flush the urinary system.
Follow prescribed antibiotics for a short duration.
Do not perform any strenuous activity until cleared by the doctor.
Attend all follow-up visits for monitoring.

FAQs on Pediatric VUR Correction

At what age is VUR correction usually done?

Correction is possible at any age, but many cases are addressed in early childhood to prevent kidney damage.

Is surgery always required for VUR?

Mild cases often resolve with time and may only need monitoring and low-dose antibiotics. Surgery is a must for moderate to severe reflux or if infections persist.

How successful is VUR correction surgery?

Success rates are high—above 90% for open surgery and 70–90% for endoscopic injections, depending on the case.

Will my child need long-term medication after surgery?

Usually not. After successful surgery, the use of antibiotics stops once the child heals completely.

Is the procedure painful for children?

With modern anaesthesia and pain management, children experience minimal discomfort during and after the surgery.

Why choose Tender Palm Super-Speciality Hospital for Pediatric Vesicoureteral Reflux (VUR) Correction in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Pediatric Vesicoureteral Reflux Correction in Lucknow, India. Our experienced pediatric urologists use advanced tools to give accurate results, quick diagnosis, and better long-term care. We offer the best evaluation and treatment support with effective and affordable pricing, making the Pediatric Vesicoureteral Reflux Correction cost suitable for patients seeking high-quality urology care in Lucknow, India.