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Published on The New Homemaker (http://www.thenewhomemaker.com)

Urethra Implantation Surgery for Kidney Reflux Grade 4

By finetune8
Created 12/21/2006 - 9:08am

Dear Friends,
Hi finetune8 here again and it's the anniversary of my son's VCUG and ultrasound tests. Which means, I am going carzy trying to find the ideal surgery situation for my son. He is three now so he is stronger but his right kidney is smaller then his left and still shows Grade 4 reflux. Based on my research and many questions to various doctors, Deflux is NOT the best option for Grade 4 or 5 reflux. Please note concerned parents that have children with reflux, the BEST doctor I am told to have deflux procedure done is with Dr. Kirsch at Georgia Pediatric Urology. He is teaching doctors around the states how to do the deflux procedure.
For those that can please help answer some of these questions for me I am truly grateful:
Urethra reimplantation is the route I have chosen to go however there are two ways to do this procedure. The first is going through the bladder "inside" to move the tubes and the second is going "outside" the bladder to make a trough then reinsert the tubes then put the muscle back on top to act as the valve flap to keep urine going back up. The 1st procedure I am told causes bladder spasms and for a 3 year old trying to keep him in bed in the hospital with pain concerns me. I am leaning towards the outside procedure and being that he only has reflux on the right thought we just had to do the right. Has anyone out there decided to do this procedure for BOTH sides and what are the real risks to this procedure? Nobody can provide stats and info on why 20% of patients show signs of reflux with the OTHER side after deflux OR surgery. So to prevent having to undergo more anesthesia, more surgery I am told to consider doing both sides for reimplantation. This procedure is 97-99 % success rate versus the 35 or more % success rate for deflux with Grade 4. Thank you for helping me to try and make the best decision for my awesome son! Happy Holidays!!finetune8@yahoo.com.

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