Vesicoureteral Reflux 1 C4551858
A condition where urine flows backward from the bladder into the ureters. Most common in children, it is usually mild and often improves with time. Treatment may involve antibiotics and monitoring.
Key facts at a glance
- ICD-10
- N39.0
- ICD-11
- GA00.0
- Body system
- genitourinary
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Generalized symptoms
(genitourinary)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Recurrent febrile urinary tract infections
(genitourinary)Urinary urgency
(genitourinary)Flank pain
(genitourinary)Microscopic hematuria
(genitourinary)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Lifestyle modification and dietary intervention
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Watchful Waiting with Imaging
Regular monitoring with voiding cystourethrogram and renal ultrasound to track reflux grade and kidney function. Appropriate for low-grade reflux with no infections or renal scarring.
Prophylactic Antibiotics
Low-dose daily or post-coital antibiotics to prevent urinary tract infections that can worsen reflux. Commonly used antibiotics include trimethoprim or nitrofurantoin.
Additional treatment options
Bladder and Bowel Hygiene
Timed voiding every 2-3 hours, double voiding techniques, and maintaining regular bowel habits. Treating constipation is important as it can worsen reflux symptoms.
lifestyleBladder-Friendly Diet
Avoiding bladder irritants such as caffeine, citrus, and spicy foods. Encouraging adequate water intake to promote dilute urine and frequent voiding to reduce bacterial colonization.
dietaryUreteral Reimplantation
Surgical correction to reposition the ureter and create a better valve mechanism at the ureterovesical junction. Reserved for persistent high-grade reflux or breakthrough infections despite medical management.
surgicalWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Vesicoureteral Reflux 1 C4551858?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
RIVUR Study Investigators. Antimicrobial prophylaxis for children with vesicoureteral reflux. N Engl J Med. 2014.
Saramago IF, Ferreira AM, Santos CC. Diagnosis and management of vesicoureteral reflux: a systematic review. J Urol. 2020.
Nakayama DK, Hidas J, Lee TG. Endoscopic injection therapy for vesicoureteral reflux: a meta-analysis. Pediatrics. 2018.
Peters CA, Skoog SJ, Arant BS Jr. Summary of the AUA Guideline for management of primary vesicoureteral reflux in children. J Urol. 2010.
Medication Comparisons
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy