What is the reason for UTI after ureteric bilateral surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My 19 months old daughter has suffered with for around seven months. Then, we had an MCU test and it was diagnosed that she had grade 5 reflux in right side and grade 4 in left side. Her ultrasound showed she had 40 cc urine residual. Her doctor suggested ureteric bilateral surgery. She has an open vascular surgery before two months and her stents removed before 20 days. Now, she again had an UTI and reflux problem. Is there any problem? Please guide us.

Answered by Dr. Vivekanandan Govindasamy

Hi,

Welcome to icliniq.com.

Surgery to correct reflux will not prevent UTI (urinary tract infection). It will only prevent bacteria from reaching kidneys, thereby preventing renal damage. Yes, UTI can still occur after correction of reflux. Other factors which predispose to UTI must be ruled out, like neurogenic bladder, voiding dysfunction, dysfunctional elimination syndrome, etc. If there are no other factors, then the child can be put on prophylactic antibiotics for a few months and this will stop the recurrence. Best wishes for your child.

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Answered by Dr. Vivekanandan Govindasamy

Medically reviewed by iCliniq medical review team

October 18, 2016

April 30, 2024

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Companion

UTI After Ureteric Surgery Companion

How it works

It can be concerning when a child experiences a UTI after surgery meant to correct reflux. This section explains why this can happen and what factors might be involved.

Why
UTIs

Vesicoureteral
Reflux

Surgery
Purpose

Predisposing
Factors

Prophylactic
Antibiotics

Ongoing
Monitoring

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Dr. Vivekanandan Govindasamy

Urology

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