STUDY ON

Dr. Harmanmeet Singh; Dr. Parasdeep Kaur; Dr. Amanjeet Kaur

Volume : IX, Issue : VII, July - 2020

STUDY ON "MANAGEMENT OF VESICOURETERAL RELFUX IN NEUROGENIC BLADDER"

Dr. Harmanmeet Singh, Dr. Parasdeep Kaur, Dr. Amanjeet Kaur

Abstract :

Vesico–ureteric reflux (VUR) is a major cause of morbidity in patients with neurogenic bladder dysfunction. If it is not therapeutically intervened, it leads to major complications like hydronephrosis and ascending urinary tract infections (UTI), which further lands up in progressive renal deterioration and renal failure. The foundation of managing reflux in these neurogenic bladders is to maintain low bladder pressures. Previous studies have focused mainly on using intermittent catheterization and medications to lower the bladder pressures. Alternatively, the patients that are in need of bladder augmentation can have spontaneous resolution of their reflux with the resulting increase in capacity. Surgical intervention is called for when bladder capacity is adequate and the reflux persists or if it is part of a larger operation to increase capacity and to manage outlet resistance. In some instances, reimplantation is necessary because the ureters interfere with the bladder neck procedure. Aside from open and robotic surgical intervention the use of endoscopic injectable agents is beginning to become more popular.