Spezielle Diagnostik in der Kinderurologie – konventionelle und spezielle Sonographie, MCU, CT und MRT

Pfitzinger, Paulo; Stredele, Regina; Eismann, Lennert; Lellig, Katja; Becker, Karsten; Heinrich, Martina; Zeller, Christiane; Lisec, Kristina; Clevert, Dirk-André; Pfluger, Thomas; Stief, Christian G.; Kammer, Birgit

doi:10.1007/s00120-022-01869-6

Cited by 1 publication

(2 citation statements)

References 13 publications

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“…The examination can first be performed after successful treatment of the urinary tract infection/pyelonephritis. It must be taken into consideration that the examination should not be performed too soon after an infection in order to avoid any falsenegative findings resulting from temporary infection-related swelling [37]. To ensure this and to avoid the transfer of bacteria from the bladder to the renal pelvis as a result of the examination, the urine must be examined prior to ceVUS.…”

Section: Alternative Method: Cevusmentioning

confidence: 99%

“…Die Untersuchung kann frühestmöglich nach erfolgreicher Therapie des Harnwegsinfektes/der Pyelonephritis erfolgen. Hierbei ist zu beachten, dass die Untersuchung nicht zu schnell auf eine stattgehabte Infektion folgt, um etwaige falsch negative Befunde infolge einer infektbedingten vorübergehenden Schwellung zu vermeiden [37]. Um dies zu gewährleisten und durch die Untersuchung keine Übertragung von Bakterien aus der Harnblase in die Nierenbecken zu verursachen, ist eine Urin-Untersuchung vor der ceVUS obligat.…”

Section: Wann Sollte Welche Untersuchung Erfolgen?unclassified

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Value of contrast-enhanced sonography in the diagnosis of vesicoureteral reflux

Conen,

Thiemann,

Stredele

et al. 2024

Rofo

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Background Contrast-enhanced ultrasound of the urinary tract and bladder (ceVUS) is an alternative examination method to micturition cysturethrography (MCU/VCUG) for suspected vesicoureteral reflux (VUR) that is increasing in practice. The purpose of this review is to present the current value of ceVUS in the diagnosis. Method A systematic literature search was performed using the keywords “vesicoureteral reflux”, “ceVUS”, “VCUG” of the databases MEDLINE and Cochrane Library as well as a review of current German, European, and American guidelines on this topic. In addition, recommendations for action in clinical practice were developed. Conclusion ceVUS is a quick-to-learn examination method that is equivalent to VCUG for the diagnosis of vesicoureteral reflux and should be used as the diagnostic method of first choice when available given the absence of radiation exposure. Key Points Citation Format

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Section: Alternative Method: Cevusmentioning

confidence: 99%

Section: Wann Sollte Welche Untersuchung Erfolgen?unclassified