Hello, I am a mother of a 5 year old boy. He was diagnosed with a bilateral vesicouretero-renal outflow. He has had various tests, including kidney scintigraphy, which showed that his son's left kidney was 21 percent functioning. He was referred for a double-sided injection. However, an injection was performed on the right ureteral outlet as the left ureter was not found. What does it mean? The son continues to wet himself during the night.
Failure to find the opening of the ureter means that it is not in the correct position and may be dislocated. There may also be some changes in the bladder wall, such as inflammation or pseudoclysts, which also make it difficult to find the outlet. Vesicoureteral outflow is a symptom of bladder dysfunction and may only be insufficient injection. The symptom of this disturbed, abnormal bladder function may be bedwetting. In order to detect this abnormal bladder function, all tests should be targeted, including urodynamic testing.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Lidia Skobejko-WłodarskaSpecialist in pediatric urology and surgery. She obtained the title of European specialist in pediatric urology - fellow of the European Academy for Pediatric Urology (FEAPU). For many years he has been dealing with the treatment of bladder and urethral dysfunction, especially neurogenic vesico-urethral dysfunction (neurogenic bladder) in children, adolescents and young adults, using for this purpose not only pharmacological and conservative but also surgical methods. She was the first in Poland to start large-scale urodynamic tests, allowing to determine the function of the bladder in children. He is the author of many works on bladder dysfunction and urinary incontinence.
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