Vesicoureteral Reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and sometimes back into the kidneys, raising the risk of urinary tract infections (UTIs) and kidney damage. Dr. Ali Afshar, a preeminent Urology Surgeon in Los Angeles, specializes in the comprehensive care of VUR, offering advanced diagnostic techniques, grading insights, and effective treatment options to protect kidney function and reduce the risk of complications.
What is Vesicoureteral Reflux?
VUR can affect individuals of any age but is most commonly diagnosed in infants and young children who have UTIs. Symptoms may vary, particularly based on age, and can include:
- Recurrent UTIs, often with fever
- Painful urination
- Abdominal pain or pressure
- Bedwetting or incontinence (in a toilet-trained child)
- Poor weight gain (in infants)
Vesicoureteral Reflux Grading
VUR is graded on a scale from I to V, based on the severity of the reflux:
- Grade I and II: Reflux into the ureter and possibly the kidney; usually resolves without surgical intervention.
- Grade III to V: Reflux into the ureter and kidney with varying degrees of ureteral dilation and renal scarring; more likely to require surgical treatment.
Advanced Diagnostic Techniques in Los Angeles
Dr. Afshar utilizes state-of-the-art diagnostic tools to accurately diagnose and grade VUR, essential for determining the most appropriate treatment plan. These may include:
Voiding Cystourethrogram (VCUG)
An X-ray examination of the bladder and urethra while the bladder is emptying to visualize reflux.
Renal Ultrasound
To assess kidney size and structure and detect any abnormalities that might indicate damage from reflux.
Comprehensive Treatment Options
Non-Surgical Management
Antibiotic Prophylaxis
To prevent UTIs, particularly in patients with lower-grade VUR.
Bladder and Bowel Management
Strategies to improve bladder function and reduce pressure that could contribute to reflux.
Surgical Interventions
For higher-grade VUR or cases not responsive to conservative treatment, Dr. Afshar may recommend surgery, including:
Endoscopic Surgery
Injection of a bulking agent near the ureteral opening in the bladder to prevent reflux.
Ureteral Reimplantation
Repair of the ureteral opening to the bladder to create a one-way valve that allows urine to exit but not reflux back.
Robotic-Assisted Laparoscopic Surgery
Offering a minimally invasive option for precise correction of VUR with reduced recovery time.
Meet Dr. Ali Afshar
Dr. Ali Afshar, a board certified urologist, has been providing exceptional urological care in the San Fernando Valley since 2017. As a vital member of the San Fernando Valley Urological Associates Medical Group, he operates out of the group’s office in Beverly Hills, California. In addition to his clinical practice, Dr. Afshar serves as an attending urologist at Cedars Sinai Medical Center, where he is actively involved in teaching and mentoring the next generation of urologists through the current urology residency program.
Find Out MoreTailored Urology Care with Dr. Ali Afshar
Choosing Dr. Afshar for VUR treatment ensures access to a leading expert dedicated to utilizing the latest advancements in pediatric and adult urology. His patient-centered approach focuses on individualized care, ensuring treatments are optimally tailored to the patient’s specific condition, lifestyle, and needs.
Patients can expect comprehensive support throughout their diagnosis, treatment, and follow-up care, with Dr. Afshar committed to achieving the best possible outcomes and enhancing urinary health.
Please call our Beverly Hills clinic to Schedule an Appointment with Dr. Ali Afshar for Vesicoureteral Reflux management. Experience expert care that combines advanced diagnostics with effective treatment options to address VUR and protect your urinary health.