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Published on: August 14, 2019
Cinefluorography of the urinary tract in childhood
Insights
Voiding cinecystography and urethrography in 120 children identified vesicoureteral reflux in 28 cases. Urethral lesions were present in 19 children, with external meatus stenosis being the most common finding.
Area of Science:
- Pediatric Urology
- Diagnostic Imaging
Background:
- Focus on ureterovesical junction investigations in lower urinary tract studies.
- Vesicoureteral reflux is a significant concern in pediatric urinary tract conditions.
Purpose of the Study:
- To evaluate the incidence of vesicoureteral reflux in children.
- To identify and characterize urethral lesions associated with or independent of reflux.
- To assess the utility of voiding cinecystography and urethrography in diagnosis.
Main Methods:
- 120 children underwent voiding cinecystography and urethrography.
- Detailed analysis of radiographic findings, focusing on the ureterovesical junction and urethra.
- Identification and classification of urethral abnormalities.
Main Results:
- Vesicoureteral reflux was observed in 22 cases without urethral lesions and in 6 cases secondary to urethral lesions.
- 13 children presented with isolated urethral lesions.
- Common urethral lesions included external meatus stenosis (14 cases), urethral valve (1 case), urethral polyp (1 case), and urethral stricture (2 cases).
Conclusions:
- Voiding cinecystography and urethrography are effective methods for diagnosing vesicoureteral reflux and urethral abnormalities in children.
- Urethral lesions can be associated with or occur independently of vesicoureteral reflux.
- Cinefluorography with television control allows comprehensive observation and recording of the voiding act.
Abstract:
Most of the recent investigations of the lower urinary tract have been concentrated on the ureterovesical junction. Studies of 120 children examined by the method of voiding cinecystography and urethrography revealed that vesicoureteral reflux occurred in 22 cases without evidence of a lesion of the urethra, and in six children secondary to lesions of the urethra. Thirteen of the children studied had isolated lesions of the urethra. Urethral lesions encountered in this series of children included stenosis of the external meatus (14 cases), urethral valve (one case), urethral polyp (one case) and urethral stricture (two cases). The main advantages of cinefluorography and television control in this field lie in the fact that all phases of the voiding act can be observed and, when necessary, recorded on a movie film. Motion picture films provide visual evidence of the value of the method.
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