We brought the MCUG film (MCUG done at HUKM 2 months ago) to our pediatric nephrologist at SJMC today.  Upon looking at the film, Dr Indon told us that Baby C’s ureter is positioned slightly lower than where it should be, thus the cause of the frequent urine reflux.   She then referred us to a pediatric surgeon at the same hospital.

The surgeon told us that if Baby C keeps having recurring (breakthrough) UTI, it’s best that a ureteral reimplantation be performed.  This will be a major surgery and the ureter would be reimplanted (repositioned).  Success rate is 99%.  The surgeon said that Baby C is still quite young and he wants to give her body a chance to outgrow this reflux.  It is hoped that the ureter will become longer as she grows, thus reduces the reflux.  However, if Baby C keeps getting UTI attacks, it’s best that the surgery be performed to prevent further UTI attacks, thus prevents her right kidney from being scarred.  

The bill came up to almost RM520 today which consists of consultation fees for 2 doctors (surgeon’s consultation fee is RM100!), immunization (6-in-1 jab and Rotavirus) and miscellaneous charges.  Cut-throat charges eh?