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Published on: October 12, 2017
[Vesicoureteric reflux: it all depends on the genes?]
Andrzej Brodkiewicz1, Anna Zakowska, Agnieszka Bińczak-Kuleta
1Klinika Pediatrii, Hematologii i Onkologii Dzieciecej Pomorskiej Akademii Medycznej w Szczecinie, Szczecin.
Insights
Vesicoureteric reflux (VUR) in children is a significant health issue often linked to genetics. Research highlights candidate genes playing a key role in the development of this condition, impacting urinary tract infections and kidney function.
Area of Science:
- Pediatric Nephrology
- Medical Genetics
- Urology
Context:
- Vesicoureteric reflux (VUR) involves reversed urine flow from the bladder to ureters and kidneys.
- It is associated with ureterovesical junction abnormalities and is a common pediatric concern.
- VUR contributes to urinary tract infections, reflux nephropathy, and chronic kidney disease in children.
Purpose:
- To review recent literature on the genetic basis of VUR in children.
- To highlight the role of candidate genes in VUR development.
- To underscore the importance of genetic factors in pediatric VUR.
Summary:
- VUR is an autosomal dominant inherited disease with potential incomplete gene penetration.
- Recent research confirms a significant genetic background for VUR.
- Candidate genes are crucial in the pathogenesis of VUR in pediatric populations.
Impact:
- Understanding the genetic underpinnings of VUR can lead to improved diagnostics.
- Identifying genetic risk factors may enable earlier intervention and prevention strategies.
- This knowledge can advance the management of VUR and its associated renal complications in children.
Abstract:
Vesicoureteric reflux (VUR) defined as reversed urine flow from the urinary bladder to ureter(s) and frequently to kidneys is associated with abnormal structure and/or malfunction of one or both ureterovesical junctions. In the pediatric practice, VUR constitutes an important problem not only because of prevalence but also because of the role it plays in pathogenesis of urinary tract infections, reflux nephropathy and chronic renal failure in children. Recent reports confirm genetic background of vesicoureteric reflux. Vesicoureteric reflux is inherited as a dominant autosomal disease (with possible incomplete gene(s) penetration). The Authors present a review of recent literature with focus on key role of candidate genes in the development of VUR in children.
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