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Professional Medical Journal-Quarterly [The]. 2007; 14 (3): 461-465
em Inglês | IMEMR | ID: emr-100602

RESUMO

To evaluate the results of micturating cystourethrography [MCUG] in cases of vesicoureteric reflux [VUR] in children. A prospective study. The study included total number of 30 patients at CMH Multan and Panu Akil from 2001-2005. All the thirty patients less than twelve years of age, suspected of vesico-ureteric reflux, were subjected to MCUG examination to assess the lower urinary tract. Ultrasonography [USG] of urinary tract was also performed on all patients. The severity of reflux was graded before referral for further medical or surgical management. Majority of patients [63.33%] presented with recurrent urinary tract infection [UTI]. Renal scarring was detected in 86.66% on USG and all of them had grade IV and V reflux. Grading of reflux on MCUG revealed 33% grade 1 and II reflux and 66.7% as grade III to V reflux. A total of 76.66% patients had primary reflux with female preponderance. MCUG was found to be 100% sensitive in diagnosis of VUR when properly performed. Strong clinical suspicion of VUR in patients of UTI, must be subjected to MCUG for early diagnosis and appropriate management


Assuntos
Humanos , Masculino , Feminino , Refluxo Vesicoureteral/diagnóstico por imagem , Criança , Estudos Prospectivos , Ultrassonografia , Sistema Urinário , Infecções Urinárias , Índice de Gravidade de Doença , Sensibilidade e Especificidade , Micção , Uretra
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