Role of positional instillation of contrast cystography in the algorithm for evaluating children with confirmed pyelonephritis

Title

Role of positional instillation of contrast cystography in the algorithm for evaluating children with confirmed pyelonephritis

Creator

Tareen B U; Bui D; McMahon D R; Nasrallah P F

Publisher

Urology

Date

2006
2006-05

Description

Objectives. To assess the utility of positional instillation of contrast (PIC) cystography in detecting vesicoureteral reflux (VUR) in patients with renal scarring from recurrent febrile urinary tract infections that standard voiding cystourethrography and nuclear cystogram imaging failed to reveal. Methods. Between June 2004 and November 2004, a total of 5 pediatric patients with recurrent febrile urinary tract infections and radiologic evidence of upper tract involvement were examined with PIC cystography. All patients had at least one previous negative standard reflux study (voiding cystourethrography or nuclear cystography). Results. All 5 patients showed VUR on PIC cystography. Unilateral reflux was detected in 3 patients, and 2 patients had bilateral VUR. Conclusions. The PIC cystogram should be integrated into the algorithm for diagnosing patients with recurrent febrile urinary tract infection, who do not exhibit VUR on standard imaging modalities. The morbidity associated with undiagnosed VUR, as demonstrated by this group of patients, suggests that permanent renal damage may be prevented by early diagnosis and treatment.

Subject

Urology & Nephrology

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

1055-1057

Issue

5

Volume

67

Citation

Tareen B U; Bui D; McMahon D R; Nasrallah P F, “Role of positional instillation of contrast cystography in the algorithm for evaluating children with confirmed pyelonephritis,” NEOMED Bibliography Database, accessed January 23, 2021, https://neomed.omeka.net/items/show/7294.

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