1. Excretory urography and cystourethrography in the evaluation of children with urinary tract infection.
- Author
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Drachman R, Valevici M, and Vardy PA
- Subjects
- Age Factors, Child, Child, Preschool, Diagnosis, Differential, Female, Humans, Infant, Male, Sex Factors, Vesico-Ureteral Reflux diagnostic imaging, Urethra diagnostic imaging, Urinary Bladder diagnostic imaging, Urinary Tract Infections diagnostic imaging, Urography
- Abstract
One hundred and ninety-one children with a first episode of urinary tract infection (UTI) underwent intravenous pyelography (IVP) and voiding cystourethrography (VCU). Only three children (1.5%) had positive findings in the IVP that were of prognostic significance and were confined to that particular investigation alone. In contrast, 97 (50.7%) of the VCUs showed anatomical abnormalities. Vesico-ureteral reflux (VUR) of varying grades was diagnosed in 77 children (40.3%). These findings stress the importance of radiological investigation of the urinary tract after the first incidence of UTI, but suggest that IVP will give information of therapeutic and/or prognostic value in a small number of cases.
- Published
- 1984
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