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Doctors Lounge - Pediatrics Answers
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| ds92005
- Wed Mar 16, 2005 3:35 pm |
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My 5 year old daughter has Vesicoureteral Reflux and an overactive bladder. Her reflux has been diagnosed as Grade 3. Would reimplantation surgery help at all to "cure" the overactive bladder?
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| Dr. Heba Ismail
- Fri Mar 18, 2005 2:30 pm |
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Dear ds92005,
What your daughter has is secondary reflux and ureteral reimplantation is contraindicated as a first-line therapy in those patients with secondary reflux.
An overactive bladder leads to poor bladder compliance. If the physician neglects the bladder and proceeds with ureteral implantation first, the risk of recurrent reflux is quite high.
A reimplantation would not cure an overactive bladder.
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