Most welcome. Old Army doc here specialized in Nuclear Medicine and Radiology. Her parents are doing the right thing to preserve renal function. Best of lick and prayers!
First of all thank you for your service. In the case that surgery is recommended what would be your recommendation open, endoscopic or laparoscopic surgery. She is still quite small approximately 10 lbs. so if recommended should surgery be put off until she grows while continuing the antibiotics.
I would have to defer to your surgeon. Need one that has lots of successful experience in that procedure. Techniques have changed through the years and I am unsure which is best approach. Antibiotic are important to stop bladder and potential renal infection. But increased pressure is part of the issue with reflux. Bladder has much thicker muscle wall to handle pressures that occur in bladder. Ureters and renal collecting systems have much thinner walls ad blow up like balloon. Increased pressure from incompetent valve at distal ureter can destroy renal cortex over time. When is the best time for surgery and what type of surgery to recommend are questions that the surgeon will be better prepared to answer.
The appointment on Monday was with general pediatrician. My daughter was referred to a urologist for a phone conversation on Wednesday. She was advised to stay on the antibiotics and if no further UTIs just wait to see if she grows out of it. Urologist stated even at stage IV the do grow out of it. Will test again in six months to look for progression. Thank you again for your advice and concern.
Most welcome. Old Army doc here specialized in Nuclear Medicine and Radiology. Her parents are doing the right thing to preserve renal function. Best of lick and prayers!
First of all thank you for your service. In the case that surgery is recommended what would be your recommendation open, endoscopic or laparoscopic surgery. She is still quite small approximately 10 lbs. so if recommended should surgery be put off until she grows while continuing the antibiotics.
I would have to defer to your surgeon. Need one that has lots of successful experience in that procedure. Techniques have changed through the years and I am unsure which is best approach. Antibiotic are important to stop bladder and potential renal infection. But increased pressure is part of the issue with reflux. Bladder has much thicker muscle wall to handle pressures that occur in bladder. Ureters and renal collecting systems have much thinner walls ad blow up like balloon. Increased pressure from incompetent valve at distal ureter can destroy renal cortex over time. When is the best time for surgery and what type of surgery to recommend are questions that the surgeon will be better prepared to answer.
Was surgeon visit with granddaughter productive and provide all the answers that were needed?
The appointment on Monday was with general pediatrician. My daughter was referred to a urologist for a phone conversation on Wednesday. She was advised to stay on the antibiotics and if no further UTIs just wait to see if she grows out of it. Urologist stated even at stage IV the do grow out of it. Will test again in six months to look for progression. Thank you again for your advice and concern.