An eleven-day boy neonate with a fetal anamnesis of grade 1 bilateral hydronephrosis according to the grading of the Society for Fetal Urology (SFU), came to our attention for an acute osteoarthritis secondary to urosepsis. In the urological follow-up, a severe bilateral vesico-ureteral reflux (VUR) was diagnosed. An early post-natal, reno-vesicle ultrasound evaluation could have changed the cl...

A 9-year-old girl with grade 4-5 right vesico-ureteric reflux (VUR) into a solitary collecting system was initially treated with endoscopic Deflux injection. Micturition cystourethrogram (MCUG) performed after 6 months showed a grade 1-2 reflux. After 3 years, MCUG repeated due to recurrent urinary tract infection (UTI), showed severe VUR. DMSA renal scan showed a non-functioning right kidney. ...

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 ...

conclusion our findings showed an increased frequency of vur in patients with bjhms. we suggest that infants and children with bjhms should be screened for vur. results vur was observed in 60% of patients with bjhms. however, sonography was normal in 66.7% of patients. the most common grading of reflux was grade ii of vur (37.5%). seventy percent of patients with bjhms and neurogenic bladder ha...

The use of continuous antibiotic prophylaxis (CAP) was critical in the evolution of vesicoureteral reflux (VUR) from a condition in which surgery was the standard of treatment to its becoming a medically managed condition. The efficacy of antibiotic prophylaxis in the management of VUR has been challenged in recent years, and significant confusion exists as to its clinical value. This review su...

One must demand an accurate, safe, radiation-free, and noninvasive method for reflux examination as the ideal possibility for reflux screening. Of course the available different imaging modalities are far from this ideal situation, but minimal radiation exposure is indeed a permanent objective. Additionally since all of these studies might be quite stressful to the child and the family, a speci...

PURPOSE In the endoscopic treatment of vesicoureteral reflux, the relatively high rate of success, the simplicity of the procedure, high patient compliance, and a lack of complications has led to the increased development of injection materials and techniques. We report a method of identifying and maintaining a clear visual field during ureteral and bladder submucosal wall injection of a dextra...