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Z Urology

Vesicoureteral Reflux Treatment and Care

At Z Urology, we specialize in diagnosing and treating urinary issues including vesicoureteral reflux (VUR). Our board-certified urologists are committed to helping you find relief from this condition and improve your overall urinary health.
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What is Vesicoureteral Reflux (VUR)?

Vesicoureteral reflux (VUR) is a condition where urine flows backward from the bladder into the ureters and sometimes up into the kidneys. This can lead to urinary tract infections (UTIs), kidney stones and potential kidney damage. VUR is often diagnosed in children following a urinary tract infection

Vesicoureteral Reflux Symptoms

VUR can cause various symptoms depending on the severity. Common signs and symptoms include:

  • Frequent urinary tract infections
  • Bed-wetting
  • Abdominal or flank pain
  • High blood pressure
  • Protein in the urine
  • Swelling in the hands and feet
  • Poor growth in children

What Causes Vesicoureteral Reflux?

VUR can be caused by several factors that range from simple to complex. Common causes involve:

  • Congenital Abnormalities: Some children are born with abnormal valve-like structures between the ureters and bladder.
  • Bladder and Bowel Dysfunction: Improper bladder emptying can contribute to VUR.
  • Family History: VUR tends to run in families.
  • Urinary Tract Obstructions: Blockages in the urinary system can cause VUR.

If you’re concerned about VUR or other urinary conditions, reach out to Z Urology.

Diagnosis and Treatment for Vesicoureteral Reflux

Z Urology provides several treatments for VUR. The type of treatment required will depend on the severity of the condition. Whatever your health status is, our team provides personalized, compassionate care so that you feel comfortable every step of the way, from diagnosis to recovery.

  • Medical Management: For mild cases (grades I-III), daily low-dose antibiotics may be prescribed to prevent UTIs while monitoring the condition's progression.
  • Ureteral Reimplantation: For higher-grade reflux (grades IV-V) or if conservative management fails, this surgical procedure involves repositioning the ureters to prevent urine backflow. Learn more about ureteral reimplantation. 
  • Endoscopic Treatment: This is a minimally invasive option involving the injection of a bulking agent like Deflux into the bladder wall.

Surgical procedures are often performed under general anesthesia or PRO-NOX. You might require post-surgery recovery time. Talk with our urologists to discuss VUR treatment options and follow exact recovery instructions.

Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.
  • I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
    – Alex S.
  • The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
    – Allison T.
  • "I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

    Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
    – Jeffery P.
  • “I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

    – Bill S.
  • “El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
    – Ana L.
  • I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
    – Jeffery P.

  • “Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
    – Brent S.
  • “Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
    – Britney C.
  • Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
    – Jimmy Z.
  • Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
    – Jose T.

  • Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
    – Frank C.

  • They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
    – Jeremy C.


  • Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
    – A.D.Z.



  • I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
    – Harvey A.




  • Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
    – Kimaro W.





In Network with Most Insurance Plans


Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.
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Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment for 
Vesicoureteral Reflux

Vesicoureteral reflux can lead to serious complications if left untreated. Fortunately, it can be successfully managed with the help of a urologist. Contact Z Urology today for VUR diagnosis, treatment, and care in South Florida.

Schedule an Appointment
or Call (954) 714-8200
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