Originally Posted by QueenOfThePride
So do UTI's come FROM the kidneys???
No. UTIs start in the bladder, and if reflux is present the infection is able to move from the bladder into the kidneys. A UTI by itself is extremely uncomfortable, but not all that harmful. If the infections move into the kidney it can be very harmful.
I don't know of a urologist that would do an initial VCUG under GA. From what I understand, the reasoning is that being under anesthesia could cause the bladder to act differently, therefore the testing would be inaccurate. There is a follow up VCUG that can be done under sedation to monitor if reflux still exists after initial testing, but it cannot tell the grade/severity of the reflux.
DD has had a number of ultrasounds, none of which showed the numerous urinary issues that she has. They will generally show any significant scarring or abnormalities, but not always. In our case, they not show dd's extra ureters, reflux, kidney abnormalities or enlarged bladder.
As frightening as it seems, I would do the VCUG. Make sure before hand that the techs have experience with cath'ing an uncircumcised child, and as KatWrangler mentioned, you might want to contact Children's Life Services. They are excellent.