4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
My 10 year old son was recently diagnosed with PUV. He has reflux to both kidneys and his bladder has been damaged (both muscles and nerves). After the operation he was retested and no real improvement was found. He is now going to self cather, 4 times daily to keep infection from occurring. I've been told about an in term stem product which can be placed in the bladder to help with voiding. Is there anyone out there who knows if this has been used in children and what the outcomes have been? Also, any suggestions on cutting edge/new developments and the doctors names who are involved would be appreciated. Thank you.
Answer
If there is significant VUR,leading to kidney damage,surgery in the form of ureteric reimplantation may be tried to reposition the ureters in the bladder in such a way that the reflux stops. However, since the nerves are damages as in a neurogenic bladder, the surgery may not be very useful. You need to consult a pediatric urologist for the same.
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