Kidney damage is the primary concern with vesicoureteral reflux. The more severe the reflux, the more serious the complications are likely to be.
Complications may include:
June 20, 2014
Kidney (renal) scarring. Untreated UTIs can lead to scarring, also known as reflux nephropathy, which is permanent damage to kidney tissue. A backup of urine exposes the kidneys to higher than normal pressure.
If your kidneys are infected, this can lead to scarring over time. Extensive scarring may lead to high blood pressure and kidney failure.
- High blood pressure (hypertension). Because the kidneys remove waste from the bloodstream, damage to your kidneys and the resultant buildup of wastes can raise your blood pressure.
- Kidney failure. Scarring can cause a loss of function in the filtering part of the kidney. This may lead to kidney failure, which can occur quickly (acute) or may develop over time (chronic).
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed April 1, 2014.
- Vesicoureteral reflux. National Kidney and Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/Kudiseases/pubs/vesicoureteralreflux/. Accessed April 1, 2014.
- Vesicoureteral reflux. The Merck Manuals: The Merck Manual for Health Care Professionals. http://www.merckmanuals.com/professional/pediatrics/congenital_renal_and_genitourinary_anomalies/vesicoureteral_reflux.html. Accessed April 1, 2014.
- Urinary tract infection in adults. National Kidney and Urologic Diseases Information Clearinghouse. http://www.kidney.niddk.nih.gov/kudiseases/pubs/utiadult/. Accessed April 1, 2014.
- Tekgul S, et al. EAU guidelines on vesicoureteral reflux in children. European Urology. 2012;62:534.
- Fever and your child. American Academy of Pediatrics. http://patiented.aap.org/content2.aspx?aid=5107. Accessed April 6, 2014.
- McLorie G, et al. Management of vesicoureteral reflux. http://www.uptodate.com/home. Accessed April 3, 2014.
- Castle EP (expert opinion). Mayo Clinic, Rochester, Minn. April 6, 2014.
- Schmitt BD. Pediatric Telephone Protocols. 14th ed. Elk Grove Village, Ill.: American Academy of Pediatrics; 2013:120-124.
- McLorie G, et al. Presentation, diagnosis, and clinical course of vesicoureteral reflux. http://www.uptodate.com/home. Accessed April 30, 2014.
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