# Vesicoureteric Reflux.Php
**Source:** https://drsujitchowdhary.com/service/vesicoureteric-reflux.php
**Language:** Arabic

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# Vesicoureteric Reflux Treatment in Delhi

المنزل  / الخدمات  / ارتجاع بولي مثاني

![Vesicoureteric Reflux Medical Diagram](../assets/images/services/vesicoureteric-reflux.jpg)

### فهم الارتجاع المثاني الحالبي

**الارتجاع المثاني الحالبي**  (VUR) is a condition in infants and children where urine flows backward from the bladder up into the ureters and kidneys. This retrograde backflow carries infected urine from the bladder into the upper urinary tract, leading to recurrent التهابات المسالك البولية  (pyelonephritis), progressive استسقاء الكلى , and permanent kidney scarring. Early evaluation for **Vesicoureteric Reflux treatment in Delhi** is vital to protect renal tissue and prevent hypertension later in life.

### أسباب الارتجاع المثاني الحالبي

VUR can be classified into two primary clinical types:

- **الارتجاع المثاني الحالبي الأولي:**  A congenital anatomical defect where the ureter enters the bladder wall too short or straight, failing to form a passive functional valve.
- **الارتجاع المثاني الحالبي الثانوي:**  Resulting from abnormally high intra-vesical pressures due to lower tract obstruction (such as PUV ) or neurogenic bladder dysfunction.

### علامات الارتجاع المثاني الحالبي

Parents should watch for key clinical and imaging signs:

- **Recurrent High-Fever UTIs:** Frequent urinary tract infections accompanied by high fever, chills, and flank pain.
- **استسقاء الكلى قبل الولادة:**  Swelling of fetal kidneys detected on prenatal ultrasound scans.
- **Voiding Disturbances:** Urgency, frequency, or painful urination in toilet-trained children.

#### خدمات أخرى

- جراحة الإحليل التحتاني
- جراحة الأطفال الروبوتية
- التهاب المسالك البولية
- ارتجاع بولي مثاني
- الفتق والقيلة الاستسقاء
- الاستسقاء الكلى
- انسداد الحالب الكلوي
- الشبم
- المثانة العصبية
- خلل التبول
- نظام الكلى المزدوج
- PUV
- جراحة المسالك البولية بالمنظار للأطفال والحصوات
- الفتق المثاني والإفراغي

#### هل تحتاج إلى استشارة؟

احجز موعدًا مع الدكتور سوجيت تشودري اليوم.

احجز الآن

#### رعاية متقدمة

## خيارات العلاج

### إجراء STING (Deflux)

A minimally invasive endoscopic injection of biodegradable gel at the ureter opening to create a working valve, done as daycare.

### إعادة زرع الحالب الروبوتية

Reconstructing the uretero-vesical junction using advanced robotic precision to create a longer, non-refluxing intramural tunnel.

### الوقاية بالمضادات الحيوية

A low-dose daily antibiotic regimen to keep the urine sterile and prevent kidney infections while waiting for VUR to resolve naturally.

#### مسار سريري

## العملية الجراحية

01

#### رسم خرائط تشخيصي

VUR is accurately graded using a Micturating Cystourethrogram (MCU) scan, and kidney scarring is evaluated using a DMSA renal scan.

02

#### حقن Deflux / جراحة

For STING, a light cystoscope is passed into the bladder to place the injection. For robotic surgery, ports are utilized to tunnel the ureters.

03

#### Follow-up Imaging

A follow-up ultrasound or renal scan is done in 3 to 6 months to confirm that reflux has resolved and the kidneys are draining cleanly.

#### قصص نجاح

## اسمع من الآباء

"Our daughter was having high-grade reflux causing kidney infections. Consulting Dr. Sujit for **Vesicoureteric Reflux treatment in Delhi** resulted in a seamless STING procedure. No cuts, and home the same day."

##### نيتا شارما

والدة مريض عمره 3 سنوات

"إعادة زرع الحالب الروبوتية لـ VUR الثنائي كانت نجاحًا كبيرًا. طفلنا خالٍ تمامًا من العدوى الآن. شكرًا لك يا دكتور تشوداري."

##### راجيش ك.

أب

"Dr. Chowdhary is an outstanding **Vesicoureteric Reflux surgeon in Delhi**. His scientific approach helped us avoid unnecessary long-term antibiotics through timely endoscopic correction."

##### سونيا ميهتا

أم

"دقة جراحة الدكتور شودهاري لا تصدق. ثقته منحتنا راحة بال كبيرة خلال وقت عصيب للغاية."

##### أنيتا شارما

أم

"We traveled from another city just for Dr. Chowdhary's expertise in **Vesicoureteric Reflux treatment in Delhi**. His methodical care saved our child's kidney health."

##### كاران سينغ

ولي الأمر

![Dr. Sujit Chowdhary](../assets/images/doctor.jpeg)

#### أخصائي المسالك البولية

## لماذا تختار الدكتور سوجيت تشودري؟

When parents seek a leading **Vesicoureteric Reflux surgeon in Delhi**, minimal-access daycare endoscopic injection (STING/Deflux) and advanced robotic ureteral reimplantation ensure exceptional cure rates with minimal discomfort.

- Specialist in minimally invasive STING (Deflux) procedure for VUR.
- High success rates in robotic and open ureteral reimplantation.
- Comprehensive diagnostic MCU and DMSA imaging evaluations.
- Focus on preserving kidney function and preventing recurrent pyelonephritis.
- Compassionate care and dedicated support for families throughout treatment.

تعرف على المزيد عن الطبيب

#### استفسارات شائعة

## الأسئلة الشائعة

##### What is Vesicoureteric Reflux (VUR) and how does it occur?

Vesicoureteric Reflux (VUR) is a congenital condition where the flap-valve mechanism between the ureter and bladder is incompetent, allowing urine to flow backwards toward the kidneys during bladder contraction.

##### How is VUR diagnosed and graded?

VUR is diagnosed using a Micturating Cystourethrogram (MCU / VCUG) imaging scan and graded from Grade I (mild reflux into lower ureter) to Grade V (severe reflux with extreme dilation and tortuosity of ureters and kidneys).

##### Does VUR always require surgical intervention?

No, lower grades (Grade I–III) often resolve spontaneously as the child grows and the ureteric tunnel lengthens. Low-grade VUR is managed conservatively with continuous low-dose prophylactic antibiotics and regular monitoring.

##### What is the endoscopic STING (Deflux) procedure?

STING is a minimally invasive daycare procedure where a pediatric urologist inserts a miniature cystoscope into the bladder and injects a biocompatible gel (Deflux) under the ureter opening, creating a firm bulge that acts as a one-way valve to stop backflow.

##### When is open or robotic ureteral reimplantation recommended?

Ureteral reimplantation is recommended for high-grade reflux (Grade IV–V), persistent reflux that fails endoscopic STING treatment, or when breakthrough kidney infections occur despite antibiotic prophylaxis.

##### Can untreated VUR lead to permanent kidney damage?

Yes, repeated kidney infections (pyelonephritis) caused by untreated VUR lead to renal scarring, loss of kidney function, stunted renal growth, and an increased risk of high blood pressure in adulthood.

##### What follow-up care is needed after VUR treatment?

Following STING or reimplantation, follow-up renal ultrasounds and DMSA kidney scans are scheduled at 3 to 6 months to confirm that reflux has ceased and that kidney growth and function remain healthy.

#### تواصل معنا

## احجز موعدًا

توفر حقن STING بالمنظار وإعادة الزرع الروبوتية معدلات شفاء عالية للارتجاع المثاني الحالبي. حدد موعدًا للاستشارة اليوم.

##### عنوان العيادة

D6, Club, 2, مقابل فاسانت فيهار، فاسانت فيهار، نيودلهي، دلهي 110057

##### اتصال للطوارئ

+91 98732 06761

##### ملف جوجل

عرض الملف الشخصي والمراجعات