What risk does VUR pose?

Often, grade I VUR will go away on its own as the child grows.  However, as the grade increases, the chances of VUR resolving itself decreases.

Higher grades of VUR may increase the risk of developing kidney infections. A kidney infection can lead to scarring and permanent damage to the kidneys. Excessive scarring can lead to high blood pressure later in life or, in severe cases, kidney failure.1, 2

 

Can VUR be prevented?

 VUR cannot be prevented. However, measures can be taken to reduce the risk of UTIs which cause the damage in children with VUR. You can do this by:

  • Changing diapers frequently
  • Wiping from front to back after going to the bathroom
  • Consider wearing cotton underwear
  • Urinating frequently

 


References

  1. Zhang Y, Bailey RR. A long-term follow-up of adults with reflux nephropathy. N Z Med J 1995; 108: 142-4.
  2. McGladdery SL, Aparicio S, Verrier-Jones K, et al. Outcome of pregnancy in an Oxford-Cardiff cohort of women with previous bacteriuria. Q J Med 1992; 83: 533-9.