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Occurrence of vesicoureteral reflux in children

M Venhola1, A Hannula, N-P Huttunen

  • 1Department of Paediatrics, University Hospital, Oulu, Finland. mika.venhola@ppshp.fi

Acta Paediatrica (Oslo, Norway : 1992)
|June 16, 2010
PubMed

Insights

Vesicoureteral reflux is more common in children than previously believed, occurring independently of urinary tract infections. Current guidelines for diagnosing reflux may need revision.

Area of Science:

  • Pediatric Nephrology
  • Urology
  • Diagnostic Imaging

Background:

  • Vesicoureteral reflux (VUR) is often considered rare in the general population.
  • Previous assumptions suggest a strong link between VUR and urinary tract infections (UTIs).

Purpose of the Study:

  • To investigate the actual prevalence of VUR in children under 5 years old.
  • To determine if VUR occurs independently of UTIs.

Main Methods:

  • Analysis of 406 children under 5 years with suspected UTIs.
  • Evaluation of UTI diagnostic reliability and VUR frequencies across different diagnostic certainty groups.
  • Assessment of abnormal ultrasound findings in relation to UTI certainty.

Main Results:

  • VUR prevalence was consistent across all UTI diagnostic reliability groups (36% in certain UTI, 28% in possible UTI, 36% in improbable UTI).
  • Abnormal ultrasound findings were predominantly observed in children with a confirmed UTI diagnosis (80%).

Conclusions:

  • Vesicoureteral reflux appears more prevalent in children than previously thought, even in the absence of UTIs.
  • Current guidelines recommending voiding cystourethrography for reflux detection may require reevaluation.
Abstract

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