Timing of Follow-up Voiding Cystourethrogram in Children With Primary Vesicoureteral Reflux: Development and Application of a Clinical Algorithm

PEDIATRICS ◽  
2005 ◽  
Vol 115 (2) ◽  
pp. 426-434 ◽  
Author(s):  
M. Thompson
Keyword(s):  
Vesicoureteral Reflux ◽  
Voiding Cystourethrogram ◽  
Clinical Algorithm ◽  
Primary Vesicoureteral Reflux

OUTCOME OF KIDNEYS IN CHILDREN TREATED FOR PRIMARY VESICOURETERAL REFLUX DURING INFANT AFTER 15 YEARS FOLLOW-UP

2008 ◽  
Vol 179 (4S) ◽  
pp. 203-204
Author(s):  
Hiroyuki Satoh ◽  
Hiroshi Asanuma ◽  
Masaki Muramatsu ◽  
Hiroaki Tamura ◽  
Seiichirou Shishido
Keyword(s):  
Vesicoureteral Reflux ◽  
Primary Vesicoureteral Reflux

scholarly journals The Role of Radiographic Imaging in Diagnosis and Follow-up of Vesicoureteral Reflux: Review Article

2021 ◽  
pp. 231-239
Author(s):  
Mahmoud Elsayed Mahmoud Fadl ◽  
Anwar Suwailem Almutairi ◽  
Amal Muteb S. Alshalan
Keyword(s):  
Vesicoureteral Reflux ◽  
Voiding Cystourethrography ◽  
Radiographic Imaging ◽  
Colour Doppler ◽  
Group Members ◽  
Tract Infections ◽  
Ionizing Radiations ◽  
Primary Vesicoureteral Reflux

Background: Primary vesicoureteral reflux is a basic influencing for urinary tract infections in children. The basic technique for the diagnosis of vesicoureteral reflux is voiding cystourethrography, accompanied with cystoscintigraphy. Voiding cystourethrography has the benefit of only minor irradiation. However it does no longer permit the morphological assessment of bladder and vesicoureteral reflux grading. Colored-Doppler cystosonography with echocontrast is a currently delivered technique for imaging vesicoureteral reflux. The purpose of our study is to explore the role of Radiographic Imaging in diagnosis and follow‐up of vesicoureteral reflux. Method: A systematic review was carried out, (including PubMed, Google Scholar, and EBSCO) of imaging modalities used to detect or evaluate vesicoureteral reflux disease. The found articles were screened by titles, and abstracts. No software will be utilized to analyze the data. The review was performed by the group members and each verified by at least two, to ensure the validity and minimize the mistakes. Results and Conclusion: Colour-Doppler cystosonography, due to the nonexistence of ionizing radiations, has great benefits, mainly in cases requiring continued or prolonged monitoring. In spite of practices stated in the literature, this procedure has a role in the diagnosis of vesicoureteral reflux. Our group chooses colour-Doppler cystosonography for the follow-up of medium-severe grade vesicoureteral reflux previously diagnosed by radiology and/or scintigraphy. Cystoscintigraphy is used only to confirm cases resulting negative at ultrasonography. 

scholarly journals Outcomes of Extravesical Versus Intravesical Ureteral Reimplantation

2004 ◽  
Vol 4 ◽  
pp. 195-197
Author(s):  
Leah P. McMann ◽  
Byron D. Joyner
Keyword(s):  
Length Of Stay ◽  
Vesicoureteral Reflux ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Renal Ultrasound ◽  
Voiding Cystourethrogram ◽  
Ureteral Reimplantation ◽  
Success Rates ◽  
Average Length Of Stay

Purpose: The purpose of our study was to examine outcomes and compare length of stay after extravesical and intravesical ureteral reimplantation at our institution. Materials and Methods: Retrospective review was performed of 30 patients (55 ureters) with vesicoureteral reflux who underwent either the Cohen (intravesical) cross-trigonal procedure or the extravesical (detrusorrhaphy) approach. Each patient had documented follow-up consisting of a postoperative renal ultrasound and/or a voiding cystourethrogram (VCUG). Inclusion criteria was the presence of primary vesicoureteral reflux. Exclusion criteria were patients who had undergone a previous repair and patients in whom results of neither the renal ultrasound nor the VCUG were available. Results: There were no significant cases of obstruction or wound infection with either approach. Two patients who underwent the extravesical approach had persistent reflux on VCUG three months postoperatively, but both resolved by fifteen months. Average length of stay was only 3.00 ± 1.33 days for the extravesical approach, compared to 5.36 ± 1.75 days for the intravesical approach ( P = .0003 ). Conclusions: Given that by fifteen months success rates were the same with either approach, the extravesical approach is comparable to the intravesical technique and is a viable option in terms of outcome and economics given the shorter length of hospital stay.

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