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What is the issue with uncorrected vesicoureteric reflux?
Persistent and uncorrected reflux can result in repeated pyelonephritis, renal damage and subsequent renal impairment and hypertension in adult life.
If there is a duplex collecting system the reflux is more likely in the lower or upper moiety?
Reflux occurs in the lower moiety. A ureterocele is associated with the upper moiety.
RIGHT kidney:moderate hydronephrosis and hydroureter is noted up to the vesico-ureteric junction. Vesico-ureteric junction shows reflux seen during color Doppler study. Floating tiny echoes are noted in urinary bladder.
LEFT kidney: No vesico-ureteric reflux.