AIMS To determine the sensitivity, specificity, and predictive values of renal ultrasound findings for vesicoureteral reflux (VUR). METHODS Retrospective review of the ultrasound and voiding cystourethrogram (VCUG) results of 162 children under 5 years of age admitted with their first episode of urinary tract infection (UTI) over a two year period. Ultrasound findings were considered suggesti...

Congenital anomalies of the kidney and ureter are a significant cause of morbidity in foetus, neonate, infancy and adulthood. Radiological investigations provide a foundation for diagnosing these conditions giving vital clinical information. Various imaging modalities used to diagnose these anomalies are intravenous urography (IVU), voiding cystourethrogram (VCUG), Computed tomography (CT), Mag...

Urinary tract infection is a common pediatric problem and vesicoureteral reflux is its most common complication. Detection of this reflux has classically been achieved by voiding cystouretrography (VCUG). Ultrasonography for evaluation of vesicoureteral reflux is shown to be feasible but is not widely accepted. Our aim was to assess the value of routine sonography in detecting vesicoureteral re...

Introduction Vesico-ureteric reflux (VUR) is a congenital disorder of the paediatric renal tract, which allows the retrograde passage of urine up to the renal pelvis, predisposing to renal infection and consequential scarring, hypertension and renal failure. The current gold standard for diagnosis is the Micturating Cystourethrogram (MCUG), allowing snap-shot imaging of the urethra, bladder and...

background renal scintigraphy with technetium 99m labeled dimercaptosuccinic acid (99mtc-dmsa) is a traditional imaging technique commonly used to detect renal scar in patients with probable vesicoureteral reflux (vur) and/or urinary tract infection (utis). we determined whether normal results of dmsa renal scan obviate the need for voiding cystourethrography (vcug) in evaluating children with ...

Presence of posterior urethral valves (PUV) is the most common cause of urinary tract obstruction in the male neonate. Late presentation occurs in 10% of cases. We present a case of PUVs in an adult male who presented with history of obstructive lower urinary tract symptoms and hematuria. On evaluation, he was found to have raised serum creatinine level. A voiding cystourethrogram (VCUG) could ...

In this issue of Pediatrics, Nelson and colleagues present a retrospective cross-sectional study of children ,60 months of age who underwent renal and bladder ultrasound (RBUS) and voiding cystourethrogram (VCUG). Like other studies of this topic, this is a retrospective analysis of data captured through routine care, but it is probably the largest and most well-conducted study of its kind. The...