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Primary Care Provider Resource for Spinal Cord Injury Heersink School of Medicine

Vesicoureteral Reflux - PCP Information

Renal damage secondary to Vesicoureteral reflux occurs in approximately 25% of patients. Persersistent reflux increases the risk of pyelonephritis which can lead to frank renal insufficiency.

Prevention of vesicoureteral reflux
Bladder volumes must be kept below the ureter pressure threshold.
  • >400ccs for females
  • >500ccs for males.
Treatment Considerations
Patients with persistent high timed catherization volumes should either catherize more frequently and/or adjust their fluid intake.  If conservative measures are ineffective, the patient should see a urologist for additional treatment options such as a suprapubic catheter.  High bladder volumes can cause renal damage relatively quickly and should not be ignored.

 

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The University of Alabama at Birmingham Spinal Cord Injury Model System provides this website as an auxiliary resource for the primary care of patients with spinal cord injury.The contents of this website were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90SIMS0020). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.

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