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.

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