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VUR Surgery with Sub-Ureteric Injection at Urology Clinic DRHC Dubai


Vesicoureteral Reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and kidneys, increasing the risk of urinary tract infections and kidney damage. At DRHC Dubai, we offer a minimally invasive solution for VUR—sub-ureteric injection. This procedure involves injecting a bulking agent near the ureteral opening to prevent the backflow of urine, providing an effective and less invasive alternative to traditional surgery.

What is VUR Surgery with Sub-Ureteric Injection?

Sub-ureteric injection, also known as endoscopic treatment, involves the injection of a bulking agent (such as Deflux) beneath the mucosa of the ureteral opening (ureteral orifice) to create a valve mechanism that prevents urine from flowing back into the ureters and kidneys. This outpatient procedure is performed using a cystoscope, a thin tube with a camera and light, inserted through the urethra into the bladder.

Indications for VUR Surgery with Sub-Ureteric Injection

This procedure is recommended for patients with:

  • Diagnosed Vesicoureteral Reflux (VUR)
  • Recurrent urinary tract infections (UTIs) associated with VUR
  • VUR that has not improved with conservative treatments such as antibiotics or behavioral modifications
  • Risk of kidney damage due to VUR

The Sub-Ureteric Injection Procedure

  1. Preparation: A preoperative evaluation, including imaging studies such as a voiding cystourethrogram (VCUG) or ultrasound, is performed to confirm the diagnosis and grade of VUR. Patients receive specific instructions regarding fasting and medication adjustments.
  2. Anesthesia: The procedure is typically performed under general anesthesia to ensure patient comfort.
  3. Injection: A cystoscope is inserted through the urethra into the bladder. The surgeon injects the bulking agent near the ureteral openings, creating a bulge that helps prevent urine reflux.
  4. Completion: The cystoscope is removed, and the patient is monitored during recovery. The procedure usually takes about 30 to 60 minutes.

Recovery and Aftercare

  • Immediate Recovery: Most patients can go home the same day. Mild discomfort or a burning sensation during urination may occur but typically resolves within a few days.
  • Activity: Patients are advised to avoid strenuous activities for a short period and follow their doctor's instructions regarding post-procedure care.
  • Follow-Up: Regular follow-up appointments are essential to monitor the effectiveness of the treatment and ensure no recurrence of reflux or infections.

Benefits of Sub-Ureteric Injection

  • Minimally Invasive: No external incisions are needed, leading to quicker recovery and less postoperative pain.
  • Effective Treatment: Provides a high success rate in resolving VUR, reducing the risk of UTIs and kidney damage.
  • Outpatient Procedure: Most patients can return home the same day, minimizing the impact on daily life.

Risks and Complications

While sub-ureteric injection is generally safe, potential risks include:

  • Urinary tract infections
  • Hematuria (blood in the urine)
  • Need for additional treatments if reflux persists
  • Rarely, migration or extrusion of the bulking agent

At DRHC Dubai, our experienced urology team takes all necessary precautions to minimize these risks and ensure a safe and successful procedure.

Why Choose DRHC Dubai for VUR Surgery with Sub-Ureteric Injection?

At DRHC Dubai, we are committed to providing advanced and personalized care for patients with VUR. Our skilled urologists utilize the latest techniques in sub-ureteric injection to ensure optimal outcomes. We prioritize patient comfort and safety, offering comprehensive support throughout the treatment process.

If you are in search of the best urology clinic in Dubai or an urologist in Dubai, then call on +97142798200 for consultation with our consultant urologist. Dubai Urology Clinic - DRHC offers the best urologist for VUR Surgery with Sub-Ureteric Injection in Dubai. Our DRHC is headed by a urologist with several years of experience.

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