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Can VUR be cured?

Published in VUR Resolution 2 mins read

Yes, vesicoureteral reflux (VUR) can often be cured, particularly in children with milder forms of the condition.

Understanding VUR Resolution

Vesicoureteral reflux is a condition where urine flows backward from the bladder into the ureters and sometimes towards the kidneys. The good news is that for many children, especially those with primary VUR that is not severe, the condition can resolve on its own over time.

  • Natural Resolution: Children with mild cases of primary VUR may eventually outgrow the disorder as they mature. This natural resolution occurs as the ureters and bladder develop further, improving the valve mechanism that prevents urine backflow.
  • Wait-and-See Approach: For these milder instances, doctors frequently recommend a wait-and-see approach. This involves careful monitoring of the child's condition, often through regular check-ups and imaging, to ensure there are no complications like urinary tract infections (UTIs) or kidney damage, while allowing time for the reflux to spontaneously resolve.
  • Severity Matters: The specific management and potential for cure depend significantly on the severity of the condition. While mild cases often resolve, more severe cases or those associated with recurrent infections may require further intervention.

Factors Influencing Resolution

The likelihood of VUR resolving on its own is influenced by several factors:

  • Grade of Reflux: Lower grades (milder forms) are much more likely to resolve spontaneously than higher grades.
  • Age: Younger children, particularly infants, have a higher chance of spontaneous resolution as they grow.
  • Presence of Bladder/Bowel Dysfunction: Addressing issues like constipation or infrequent urination can also aid in resolution.
Aspect Mild VUR Severe VUR
Likelihood of Cure High chance of spontaneous resolution Less likely to resolve spontaneously
Initial Approach Often "wait-and-see" with monitoring May require more active intervention (e.g., medication, surgery)
Prognosis Excellent, often without long-term issues Requires careful management to prevent complications

For more detailed information on diagnosis and treatment options, you can refer to resources from reputable medical institutions like the Mayo Clinic.