Multi-institutional experience with PIC cystography--incidence of occult vesicoureteral reflux in children with febrile urinary tract infections

Urology
John D EdmondsonJohn T Houston

Abstract

It has been reported that all children with febrile urinary tract infections (FUTIs) and normal voiding cystourethrogram (VCUG) findings show occult reflux (vesicoureteral reflux [VUR]) when examined by cystography performed with positioning of the instillation of contrast at the ureteral orifice (PIC cystography). In this study, we evaluated the reproducibility of this finding using a prospective multi-institutional collaborative examination to determine whether PIC-VUR is as common in such cases as previously shown. From March 2002 to October 2003, four institutions performed PIC cystography consecutively and prospectively in pediatric cases of FUTI (greater than 101 degrees F) who had not shown VUR by conventional VCUG. We correlated the ureteral orifice (UO) configuration and position with the status of PIC-VUR. PIC cystography was performed in 39 children (31 girls and 8 boys; 75 FUTIs). We identified PIC-VUR in 32 (82%) of 39 children, involving 58 (74%) of 78 ureters. The likelihood of demonstrating PIC-VUR was increased 37-fold if the UO showed a patulous configuration and was increased 9-fold if the UO showed a lateral configuration. PIC-VUR was noted uniformly in UOs showing hydrodistension. This multi-institutional r...Continue Reading

References

Aug 1, 1975·Archives of Disease in Childhood·J M Smellie, I C Normand
Jul 1, 1974·Archives of Disease in Childhood·G L RollestonC J Hodson
Sep 17, 2004·The Journal of Urology·Gennady BratslavskyBarry A Kogan
Feb 16, 2005·The Journal of Urology·Andrew L Freedman, UNKNOWN Urologic Diseases in America Project

❮ Previous
Next ❯

Citations

Sep 5, 2008·Advances in Urology·Sumit Dave, Antoine E Khoury
Aug 7, 2008·Advances in Urology·Jennifer A HagertyEarl Y Cheng
Aug 13, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·M S Ansari
Nov 21, 2007·Current Opinion in Pediatrics·Ron Keren
Jun 10, 2011·Der Urologe. Ausg. A·W H Rösch, V Geyer
Jan 14, 2009·Journal of Pediatric Urology·Hrair-George O Mesrobian
Jul 27, 2015·Journal of Pediatric Urology·S MoralıoğluO Bosnali
Apr 15, 2008·Urology·Jennifer HagertyUNKNOWN PIC Cystography Group
Dec 8, 2007·Clinics in Perinatology·Hrair-George O Mesrobian
Jan 31, 2009·Srpski arhiv za celokupno lekarstvo·Milan PaunovićVojkan Vukadinović
Jun 15, 2007·Current Opinion in Urology

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.