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Pathogenesis of ureteric reflux in vesical calculus disease of childhood: a clinical study
Insights
Vesical calculus (bladder stones) in children often causes ureteric reflux due to inflammation. Removing the stone successfully eradicated reflux, highlighting the need for thorough urological evaluation in children with lower urinary tract stones.
Area of Science:
- Pediatric Urology
- Nephrology
- Pediatric Surgery
Background:
- Vesical calculus disease in children can be associated with complications like ureteric reflux.
- Inflammatory changes and edema around bladder stones are potential causes of urinary tract dysfunction.
Purpose of the Study:
- To investigate the relationship between vesical calculus and ureteric reflux in pediatric patients.
- To evaluate the efficacy of stone removal in resolving ureteric reflux.
Main Methods:
- A clinical, radiographic, and endoscopic study was conducted on 34 children with vesical calculus and ureteric reflux.
- Detailed urological investigations were performed.
Main Results:
- The majority of children presented with edema and inflammatory changes linked to vesical calculus and infection, causing ureteric reflux.
- Simple surgical removal of the vesical calculus led to the eradication of ureteric reflux in all cases.
Conclusions:
- Vesical calculus is a significant cause of ureteric reflux in children, primarily due to associated inflammation and infection.
- Prompt and thorough urological investigation is crucial for children presenting with lower urinary tract calculi to identify and manage associated conditions like ureteric reflux.
Abstract:
A clinical, radiographic and endoscopic study of 34 children suffering from vesical calculus disease and manifesting ureteric reflux has been presented. The oedema and inflammatory changes from the vesical calculus and infection were responsible for the reflux in the majority of these children. The reflux was eradicated by simple removal of the stone. The importance of detailed urological investigation of all the children presenting with lower urinary tract calculi has been emphasised.