Influence of postnatal hydroureter in determining the need for voiding cystourethrogram in children with high-grade hydronephrosis
| Autor: | Abd El-Alim El-Doray, Roman Jednak, Eid El-Sherif, Amr Hodhod, Mohamed El-Sherbiny, John-Paul Capolicchio |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Posterior urethral valve
Pelvi-ureteric junction obstruction medicine.medical_specialty Voiding cystourethrogram Urology (N)(P)PV (negative) (positive) predictive value 030232 urology & nephrology APD antero-posterior diameter HU hydroureter Hydroureter urologic and male genital diseases Vesico-ureteric reflux 03 medical and health sciences 0302 clinical medicine Ureter HGH high-grade postnatal hydronephrosis 030225 pediatrics medicine Antenatal Hydronephrosis SFU Society for Fetal Urology Hydronephrosis NU normal ureter Congenital hydronephrosis Kidney Pediatric Urology Voiding cystourethrography medicine.diagnostic_test business.industry US ultrasonography Reflux medicine.disease VCUG voiding cysto-urethrogram Diseases of the genitourinary system. Urology female genital diseases and pregnancy complications CI confidence interval OR odds ratio fUTI febrile UTI PUJO PUJ obstruction medicine.anatomical_structure PH postnatal hydronephrosis RC870-923 business |
| Zdroj: | Arab Journal of Urology Arab Journal of Urology, Vol 16, Iss 2, Pp 238-244 (2018) |
| ISSN: | 2090-598X |
| Popis: | Objective: To evaluate the utility of hydroureter (HU) to identify high-grade vesico-ureteric reflux (VUR) in patients with high-grade postnatal hydronephrosis (PH). Patients and methods: We retrospectively reviewed patients’ charts that had antenatal hydronephrosis from 2008 to 2014. Patients were excluded if they presented with febrile urinary tract infection (fUTI), neurogenic bladder, posterior urethral valve, multi-cystic dysplastic kidney, and multiple congenital malformations. We reviewed postnatal ultrasonography images and patients with Society of Fetal Urology (SFU) Grades 3 and 4 hydronephrosis with a renal pelvic antero-posterior diameter of ≥10 mm were included. The ureter was assessed and considered dilated if the ureteric diameter was ≥4 mm. The voiding cystourethrogram (VCUG) studies, fUTI incidence, and surgical reports were reviewed. Results: Of the 654 patients reviewed, we included 148 patients (164 renal units) of whom 113 (76.4%) were male and 35 (23.6%) female. SFU Grade 3 PH was identified in 49% of the renal units, with the remaining 51% being SFU Grade 4. HU was found in 50/164 renal units and was not detected in the remaining 114 units. VUR was diagnosed in four units (3.5%) without HU (low-grade VUR); whilst it was detected in 19 units (38%) with HU (72.7% were high-grade VUR) (P |
| Databáze: | OpenAIRE |
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