BACKGROUND AND OBJECTIVES The American Academy of Pediatrics published a new guideline for management of first urinary tract infection (UTI) in children aged 2 to 24 months in September 2011. The imaging evaluation changed from the previous guideline to recommend voiding cystourethrogram (VCUG) only for patients with an abnormal renal and bladder ultrasound (RBUS). The objective was to decrease...

BACKGROUND/AIM To determine the incidence of abnormal Technetium Tc 99m Dimercaptosuccinic Acid (Tc99m DMSA) renal scintigraphy findings in the children with urinary tract infection (UTI), and to evaluate the difference between the children with UTI and vesico-ureteral reflux (VUR), and the children with UTI without VUR. METHODS Tc99m DMSA renal scintigraphy was performed in 170 children with...

UNLABELLED Prenatal ultrasonography has revolutionized the detection and management of many urological abnormalities. Vesicoureteric reflux (VUR) which develops in 10% to 15% of cases of prenatal hydronephrosis, is difficult to predict prenatally. While all children with prenatal hydronephrosis should undergo ultrasonography within the first few weeks of life, there seems to be controversy rega...

C ommon clinical practice has been that all children who present with a urinary tract infection (UTI) must be evaluated for vesicoureteral reflux with a voiding cystourethrogram (VCUG). The etiological association between reflux and infection was assumed since up to 40% of children with infection are found to have reflux. Evidence from the 1960s appeared to demonstrate that the diagnosis and tr...

OBJECTIVES The aim of this study was to determine sensitivity, specificity, and predictive values of sonographically demonstrated ureteral dilatation in detecting vesicoureteral reflux (VUR). METHODS Ethical approval from the Ethical Committee of Clinical Center University of Sarajevo and parental consent were obtained for this prospective study involving 120 children with history of urinary ...

AIMS To determine the sensitivity, specificity, and predictive values of renal ultrasound findings for vesicoureteral reflux (VUR). METHODS Retrospective review of the ultrasound and voiding cystourethrogram (VCUG) results of 162 children under 5 years of age admitted with their first episode of urinary tract infection (UTI) over a two year period. Ultrasound findings were considered suggesti...

Vesicocutaneous fistula, a very distressing condition has a tremendous impact on the quality of life of the patient. We report the case of a 30 years old woman , who had caesarean hysterectomy after her third emergency caesarean section . She later developed abdominal wound infection which required resuturing. Since then she had been suffering from recurrent urinary tract infections and urinary...

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...

OBJECTIVE To investigate the effect of radiofrequency (RF) sacral rhizotomy of the intolerable neurogenic bladder in spinal cord injured patients. METHOD Percutaneous RF sacral rhizotomy was performed on 12 spinal cord injured patients who had neurogenic bladder manifested with urinary incontinence resisted to an oral and intravesical anticholinergic instillation treatment. Various combinatio...

INTRODUCTION Vesicoureteral reflux (VUR) is a backward flow of urine from bladder to ureter or kidney. Potential reflux is harmful because of kidney being faced with the hemodynamic high-pressure during urination. This project was carried out for high prevalence of VUR and delay in growth of children with chronic diseases. In case of growth disorder in children with this disease and its differe...