Voiding urosonography as first step in the diagnosis of vesicoureteral reflux in children: a clinical experience
Autor: | Tommaso Depalo, D. A. Caringella, Rocco Marzolla, Mario Giordano, Flora Puteo, Lucio Scianaro |
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Rok vydání: | 2007 |
Předmět: |
Male
Pediatrics medicine.medical_specialty media_common.quotation_subject Urology Sulfur Hexafluoride Contrast Media Urination urologic and male genital diseases Vesicoureteral reflux Sensitivity and Specificity Cystourethrography medicine Vesicoureteric reflux Humans Radiology Nuclear Medicine and imaging Prospective Studies Phospholipids Neuroradiology media_common Ultrasonography Vesico-Ureteral Reflux Chi-Square Distribution business.industry Infant medicine.disease female genital diseases and pregnancy complications Pediatrics Perinatology and Child Health Female business |
Zdroj: | Pediatric radiology. 37(7) |
ISSN: | 0301-0449 |
Popis: | Contrast-enhanced voiding urosonography (VUS) is becoming more widely used for the diagnosis of vesicoureteric reflux (VUR), but until now its use has only been accepted for first diagnosis in females and in the follow-up of children, including boys, who have already undergone voiding cystourethrography (VCUG).To describe our 6-year experience with VUS used as a first step in the diagnosis of VUR.A total of 610 children (334 boys, 276 girls; mean age 22 months), underwent VUS as the first step in the diagnosis of VUR. In selected children, VCUG was also performed.VUR was detected in 199 of 610 VUS examinations, and 265 refluxing kidney-ureter units were found. Children with VUR underwent antibiotic prophylaxis or surgery. Children without VUR underwent clinical follow-up. Just 60 children underwent VCUG. The criteria for VCUG were: high-grade VUR after consultation with a urologist, onset of urinary tract infection while receiving prophylaxis, nondiagnostic VUS, and other malformations with or without clinical signs.Our experience suggests that we can use VUS as the first step in the diagnosis of VUR in children, boys and girls, with a significant reduction in radiation exposure. |
Databáze: | OpenAIRE |
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