Vesicoureteral reflux diagnosed in adulthood. Incidence of urinary tract infections, hypertension, proteinuria, back pain and renal calculi

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
J KöhlerL Forsberg

Abstract

To determine the incidence of urinary tract infections, hypertension, back pain, and renal calculi in adult patients with vesicoureteral reflux and reflux nephropathy. A group of 115 patients (16-60 years of age, median 28 years) with vesicoureteral reflux, combined with reflux nephropathy in 101 patients, first detected between 1967 and 1984, was studied retrospectively. The group comprised 99 women and 16 men. Symptoms and findings associated with the urinary tract preceded the diagnosis of vesicoureteral reflux by median 14 years (1-60 years). Intravenous pyelography preceded investigation with micturating cystography in 99 patients. Fifteen patients had no urinary tract infections, 17 patients had only lower urinary tract infections, and 83 patients had upper with or without lower urinary tract infections. Females had 12 times more lower and seven times more upper urinary tract infections than males, whereas males had impairment of renal function and proteinuria more often than females. Hypertension was present in 39 patients (34%) and five times more frequent in patients with bilateral than in those with unilateral reflux nephropathy. The median age at the first recording of hypertension was 33 years (16-60 years). Maligna...Continue Reading

Citations

Jan 18, 2006·Urological Research·G GambaroA Lupo
Feb 16, 2005·The Journal of Urology·Scott B FarnhamJohn C Pope
Sep 8, 2011·Advances in Chronic Kidney Disease·Tej K Mattoo
Nov 15, 2008·BJU International·Jacobo ArceHumberto Villavicencio
Apr 24, 2016·Journal of Pediatric Urology·Kimihiko MoriyaNobuo Shinohara
Jun 18, 2004·The Journal of Urology·Gianluigi ArdissinoUNKNOWN ItalKid Project
Sep 26, 2014·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Hasan Serkan DoganSerdar Tekgul
Dec 7, 2017·Pediatric Research·Sohsaku YamanouchiKazunari Kaneko
Feb 24, 2001·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·J KöhlerM Hellström
Sep 9, 2008·Journal of Pediatric Urology·Marc Cendron

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