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[Prevalence of hydronephrosis and vesicoureteral reflux in pediatric urinary tract infection]

Atsushi Yoshinaga1, Makoto Morozumi, Takahisa Yamashita

  • 1The Department of Urology, Saitama Medical Center, Saitama Medical School.

Hinyokika Kiyo. Acta Urologica Japonica
|November 21, 2007
PubMed

Insights

Urinary tract infections (UTIs) in children can lead to hydronephrosis and vesicoureteral reflux (VUR). Prompt examination is crucial for early detection and management of these conditions.

Area of Science:

  • Pediatric Nephrology
  • Pediatric Urology
  • Diagnostic Imaging in Children

Context:

  • Urinary tract infections (UTIs) are common in children.
  • Hydronephrosis and vesicoureteral reflux (VUR) are significant potential complications of pediatric UTIs.
  • Understanding the frequency of these conditions is vital for clinical management.

Purpose:

  • To determine the incidence of hydronephrosis and VUR in a cohort of 108 children diagnosed with UTI.
  • To identify the subtypes of hydronephrosis and VUR, including pyeloureteral junction obstruction and primary VUR.
  • To assess the occurrence of renal scarring in children with VUR.

Summary:

  • A study of 108 children with UTI found hydronephrosis in 48.1% and VUR in 39.8%.
  • Pyeloureteral junction obstruction was observed in 27.8% of hydronephrosis cases, and primary VUR in 36.1% of VUR cases.
  • Renal scarring was present in 25.8% of children with VUR.

Impact:

  • Highlights the high prevalence of hydronephrosis and VUR in children with UTIs.
  • Emphasizes the need for thorough and prompt medical evaluation in pediatric UTI cases.
  • Underscores the association between VUR and renal scarring, indicating potential long-term renal damage.

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