Vesico-ureteric reflux in children; diagnostic role of micturating cysto-urethrography

ABSTRACT

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