Adult Vesicoureteral Reflux Diagnosed and Managed Using Video-Urodynamics

We present a case of adult vesicoureteral reflux (VUR), in which video-urodynamics was employed to facilitate both diagnosis and treatment planning.

A 65-year-old man with a history of recurrent pyelonephritis and progressive renal dysfunction was referred to our hospital with a dilated right ureter observed on computed tomography. Video-urodynamics demonstrated generally preserved bladder storage and voiding functions, accompanied by bilateral VUR. Given the severity of the VUR despite normal bladder capacity and compliance, primary VUR was suspected. Anti-reflux surgery using the Cohen method was performed, resulting in complete resolution of the bilateral reflux.

Video-urodynamics are particularly valuable for diagnosing VUR and guiding optimal management in older adults, who may present with underlying urinary dysfunction.