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A rare case: Vesicoureteral reflux in Indonesian young adult with neurogenic bladder and chronic kidney disease stage 4

Abstract Background: Vesicoureteral reflux (VUR) is one of the main causes of chronic kidney disease (CKD) in adolescence and young adult. It can be a congenital or an acquired anomaly and its uncommon in adult life.Case presentation: A 19th years old male with neurogenic bladder, VUR grade 4, CKD stage 4, malnutrition, and short stature. Radiological examinations show a spastic neurogenic bladder, cystitis, right VUR grade 4. Abdominal ultrasonography (USG) results were bilateral severe hydronephrosis due to post-renal causes. This patient had a history of myelocele excision at the age of 1.5 years. He had recurrent urinary tract infection with CKD stage 4.Discussion: The diagnosis of VUR and neurogenic bladder in CKD stage 4 is a rare case in nephrology.Conclusion: Indonesian male confirms of diagnosis VUR grade 4, neurogenic bladder, and CKD stage 4.Keywords: Vesicoureteral reflux, Neurogenic bladder, Chronic kidney disease