Our Experience with Contrast-Enhanced Voiding Urosonography
Vesicoureteral reflux (VUR) is one of the most common anomalies of the urinary system in children. Contrast-enhanced voiding urosonography (ceVUS) is one of the best methods in VUR diagnosis. This study compared characteristics associated with VUR specific images and categorized patients accordin...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2021-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/382737 |
| _version_ | 1827282175475580928 |
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| author | Karla Rubelj Lea Oletić Bernardica Valent Morić Ivana Trutin |
| author_facet | Karla Rubelj Lea Oletić Bernardica Valent Morić Ivana Trutin |
| author_sort | Karla Rubelj |
| collection | DOAJ |
| description | Vesicoureteral reflux (VUR) is one of the most common anomalies of the urinary
system in children. Contrast-enhanced voiding urosonography (ceVUS) is one of the best methods in
VUR diagnosis. This study compared characteristics associated with VUR specific images and categorized
patients according to a particular VUR grade. The study included 183 children. VUR was detected
in 38.9% of patients, mean age 1.7±1.1 years. Grade II VUR was most common (60.3%), followed
by grade III (29.4%). Study results showed that VUR occurred irrespective of age, gender, previous
ultrasound findings, causative agent, and severity of urinary tract infection (UTI ). VUR was more
common in children with recurrent UTI . In the group of children with the first UTI not caused by
Escherichia coli or with recurrent UTI , boys more commonly suffered from severe VUR (grade IV-V;
66.7%), while girls suffered from moderate VUR (grade II -III ; 100%). In this study, the incidence of
VUR in prenatally diagnosed hydronephrosis was 28.6%. It is necessary to develop an algorithm for
the treatment of children after UTI in Croatia, which should include ceVUS. All children with possible
VUR should be referred to a specialized center where it is possible to perform ceVUS. |
| first_indexed | 2024-04-24T09:13:41Z |
| format | Article |
| id | doaj.art-55cf70f48c9646de88a3381622349f0b |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:13:41Z |
| publishDate | 2021-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-55cf70f48c9646de88a3381622349f0b2024-04-15T17:13:29ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512021-01-0160.2.18419010.20471/acc.2021.60.02.03Our Experience with Contrast-Enhanced Voiding UrosonographyKarla Rubelj0Lea Oletić1Bernardica Valent Morić2Ivana Trutin3Department of Pediatrics, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaDepartment of Pediatrics, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaDepartment of Pediatrics, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaDepartment of Pediatrics, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaVesicoureteral reflux (VUR) is one of the most common anomalies of the urinary system in children. Contrast-enhanced voiding urosonography (ceVUS) is one of the best methods in VUR diagnosis. This study compared characteristics associated with VUR specific images and categorized patients according to a particular VUR grade. The study included 183 children. VUR was detected in 38.9% of patients, mean age 1.7±1.1 years. Grade II VUR was most common (60.3%), followed by grade III (29.4%). Study results showed that VUR occurred irrespective of age, gender, previous ultrasound findings, causative agent, and severity of urinary tract infection (UTI ). VUR was more common in children with recurrent UTI . In the group of children with the first UTI not caused by Escherichia coli or with recurrent UTI , boys more commonly suffered from severe VUR (grade IV-V; 66.7%), while girls suffered from moderate VUR (grade II -III ; 100%). In this study, the incidence of VUR in prenatally diagnosed hydronephrosis was 28.6%. It is necessary to develop an algorithm for the treatment of children after UTI in Croatia, which should include ceVUS. All children with possible VUR should be referred to a specialized center where it is possible to perform ceVUS.https://hrcak.srce.hr/file/382737Contrast-enhanced voiding urosonography (ceVUS)Vesicoureteral refluxChildren |
| spellingShingle | Karla Rubelj Lea Oletić Bernardica Valent Morić Ivana Trutin Our Experience with Contrast-Enhanced Voiding Urosonography Acta Clinica Croatica Contrast-enhanced voiding urosonography (ceVUS) Vesicoureteral reflux Children |
| title | Our Experience with Contrast-Enhanced Voiding Urosonography |
| title_full | Our Experience with Contrast-Enhanced Voiding Urosonography |
| title_fullStr | Our Experience with Contrast-Enhanced Voiding Urosonography |
| title_full_unstemmed | Our Experience with Contrast-Enhanced Voiding Urosonography |
| title_short | Our Experience with Contrast-Enhanced Voiding Urosonography |
| title_sort | our experience with contrast enhanced voiding urosonography |
| topic | Contrast-enhanced voiding urosonography (ceVUS) Vesicoureteral reflux Children |
| url | https://hrcak.srce.hr/file/382737 |
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