Analysis of indications for ureteral reimplantation in 3738 children with vesicoureteral reflux: A single institutional cohort

Szymański, Konrad M.; Oliveira, Lorena Marçalo; Silva, Andres; Retik, Alan B.; Nguyen, Hiep T.

doi:10.1016/j.jpurol.2011.06.002

Cited by 12 publications

(14 citation statements)

References 33 publications

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“…Surgical correction can be considered in certain circumstances that patient has a history of febrile UTI, worsening hydronephrosis, abnormal kidney function on renal scan, or preference for surgical treatment. The predictive factors of surgery included older age at initial diagnosis, the presence of antenatal hydronephrosis, bilateral and high grade VUR in a large-scaled cohort study[7]. Despite hopeful chance of spontaneous VUR resolution based on the previous studies, we predicted little chance of spontaneous resolution because of the complicated VUR with crossed fused kidney.…”

Section: Discussionmentioning

confidence: 89%

Lump type crossed fused renal ectopia with bilateral vesicoureteral reflux: A case report

Choi

Yoo

Song

et al. 2019

WJCC

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BACKGROUND Crossed fused renal ectopia is a rare congenital anomaly of the ascent of the kidney. This anomaly may be observed as a solitary kidney during initial evaluation. A solitary kidney must be evaluated for associated anomalies such as duplication, horseshoe kidney, or crossed renal ectopia. CASE SUMMARY An anomaly was observed in a 9-mo-old male child who was subsequently diagnosed with crossed fused renal ectopia and vesicoureteral reflux (VUR). In this condition, recurrent febrile urinary tract infection can be a serious problem, and can easily cause renal damage due to relatively short ureters and high pressure in the kidney. CONCLUSION To prevent urosepsis and preserve renal function, early diagnosis and proper management including surgical correction should be considered for the management of renal ectopia with VUR.

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Section: Discussionmentioning

confidence: 89%

Lump type crossed fused renal ectopia with bilateral vesicoureteral reflux: A case report

Choi

Yoo

Song

et al. 2019

WJCC

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“…Szymanski et al found higher age at presentation to be an independent predictor of ureteral reimplantation. 12 They also found that patients followed for antenatal hydronephrosis, bilateral reflux and high-grade reflux were independent predictors of ureteral reimplantation. In addition to patient characteristics we found that surgeon characteristics predict surgical treatment.…”

Section: Discussionmentioning

confidence: 94%

Physician preference is a major factor in management of vesicoureteral reflux

2014

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“…Additionally, whereas children with high-grade VUR require antibiotic prophylaxis, this measure is typically unnecessary in patients with low-grade VUR. Therefore, it is important to distinguish between low-grade and high-grade VUR using a renal screening tool (8,9).…”

Section: Discussionmentioning

confidence: 99%

“…Notably, the updated guideline recommends that only children with high-grade VUR should receive antibiotic prophylaxis and/or undergo surgery, as high-grade VUR is less likely to resolve and more likely to result in renal scarring. Conversely, over half of the cases of all-grade VUR are expected to resolve within 2 years (8,9). Further, understanding the implications of high-grade VUR in renal US is important for pediatric radiologists.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Renal Ultrasonography for Vesicoureteral Reflux in Infants and Children Aged Under 24 Months with Urinary Tract Infections

Kim

Lim

et al. 2019

J Korean Soc Radiol

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Purpose To compare the diagnostic accuracies of renal ultrasonography (US) and voiding cystourethrography (VCUG) for vesicoureteral reflux (VUR). Materials and MethodsThis retrospective study included infants and children (< 24 months of age) with urinary tract infections who underwent renal US and VCUG. The incidences of decreased or increased renal size, increased renal parenchymal echogenicity, ureteral dilation, ureteral wall thickening, renal pelvic dilation, pelvic wall thickening, and accentuated pelvic dilation in the prone position were compared. Grade 3 or higher VUR was classified as "highgrade." A total of 138 patients (109 males; mean age, 3 months) were included. Multivariate logistic regression analysis was performed, and diagnostic accuracy was calculated.Results Fifty-three (38.4%) and 43 (31.2%) patients exhibited all-grade and high-grade VUR. Decreased renal size was significantly related to all-grade [odds ratio (OR): 16.6; 95% confidence interval (CI): 3.4-81.3; p = 0.001) and high-grade VUR (OR: 29.7; 95% CI: 5.7-155.3; p < 0.001). Accentuated pelvic dilation in the prone position, increased renal parenchymal echogenicity, and ureteral dilation were related to all-grade and high-grade VUR. ConclusionDecreased renal size showed the highest diagnostic accuracy for US-based diagnosis of all-grade and high-grade VUR. Accentuated pelvic dilation in the prone position, increased renal parenchymal echogenicity, and ureteral dilation may aid in the diagnosis of high-grade VUR.

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Analysis of indications for ureteral reimplantation in 3738 children with vesicoureteral reflux: A single institutional cohort

Cited by 12 publications

References 33 publications

Lump type crossed fused renal ectopia with bilateral vesicoureteral reflux: A case report

Lump type crossed fused renal ectopia with bilateral vesicoureteral reflux: A case report

Physician preference is a major factor in management of vesicoureteral reflux

Diagnostic Accuracy of Renal Ultrasonography for Vesicoureteral Reflux in Infants and Children Aged Under 24 Months with Urinary Tract Infections

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