Adult Vesicoureteral Reflux Diagnosed and Managed Using Video‐Urodynamics

Introduction We present a case of adult vesicoureteral reflux (VUR), in which video‐urodynamics was employed to facilitate both diagnosis and treatment planning. Case Presentation 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. Conclusion Video‐urodynamics are particularly valuable for diagnosing VUR and guiding optimal management in older adults, who may present with underlying urinary dysfunction.