Urinary tract infection is a common problem in the pediatric population. The signs and symptoms are nonspecific, particularly in the younger child. The role of vesicoureteral reflux in the pathogenesis of pyelonephritis is incompletely understood. Approximately 40% of patients with upper urinary tract infection have vesicoureteral reflux. Urinary tract infection, unrecognized and inadequately t...

Objective: To prospectively evaluate the diagnostic utility of interlobar renal arterial resistive index values, in predicting the presence of vesicoureteral reflux in children with sonographically normal appearing kidneys. Methods: We investigated 35 children with a history of urinary tract infection with grayscale and color Doppler ultrasound (US) followed by a standard voiding cystouretherog...

INTRODUCTION The management of neonates with congenital hydronephrosis (CHN) diagnosed antenatally is still controversial. MATERIALS AND METHODS A prospective study was performed in all newborn infants with CHN born over a 2-year period in order to identify which neonates require a full radiologic investigation including investigation with invasive tests such as voiding cystoureterography (VC...

PURPOSE Endoscopic injection of dextranomer/hyaluronic acid is an option for primary vesicoureteral reflux. Few groups have assessed the rate of urinary tract infection after dextranomer/hyaluronic acid injection. We reviewed our experience with dextranomer/hyaluronic acid injection, and determined the incidence of and risk factors for postoperative urinary tract infection. MATERIALS AND METH...

Vesicoureteral reflux, the abnormal flow of urine from the bladder into the ureter, is one of the most common congenital anomalies found in children. The association of vesicoureteral reflux with urinary tract infections and renal scarring has important clinical implications. New insights into pathogenesis and new surgical techniques are changing the approach to the management of this disorder.

PURPOSE Limited studies suggest a relationship between scarring on renal scan and failure to resolve vesicoureteral reflux. We evaluated the impact of abnormal renal scans on early vesicoureteral reflux resolution. MATERIALS AND METHODS The medical records and renal scans were reviewed of children diagnosed with primary reflux between 1988 and 2004. We defined an abnormal renal scan as renal ...

Vesicoureteral reflux (VUR), the retrograde flow of urine from the bladder toward the kidney, is common in young children. About 30% of children with urinary tract infections will be diagnosed with VUR after a voiding cystourethrogram. For most, VUR will resolve spontaneously; 20% to 30% will have further infections, but few will experience long-term renal sequelae. Developmentally, VUR arises ...

vesicoureteral reflux (vur) is one of the most important causes of urinary tract infection and renal failure in children. it is a potentially self-limited disease. the aim of this study was to evaluate the clinical course and significant factors in children with primary vur. the medical charts of 125 infants and children (27.2 % males, 72.8% females) with all grades of primary vur were retrospe...

introduction: this study evaluates the accuracy of renal ultrasonography (us) in the detection of vesicoureteral reflux (vur) compared to voiding cystourethrography (vcug). methods: we retrospectively reviewed the medical records of 131 children with urinary tract infection. ultrasound findings were considered to be suggestive of vur if a “pelvocalyceal dilatation”‚ “retrovesical ureteral dilat...