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OUR EXPERIENCE WITH CONTRAST-ENHANCED VOIDING UROSONOGRAPHY

Karla Rubelj1, Lea Oletić1, Bernardica Valent Morić1

  • 1Department of Pediatrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Acta Clinica Croatica
|November 8, 2021
PubMed

Insights

Vesicoureteral reflux (VUR) affects nearly 40% of children, with Grade II being most common. Early diagnosis using contrast-enhanced voiding urosonography (ceVUS) is crucial for effective treatment strategies.

Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging
  • Medical Diagnostics

Background:

  • Vesicoureteral reflux (VUR) is a frequent congenital anomaly in the pediatric urinary system.
  • Contrast-enhanced voiding urosonography (ceVUS) is a leading diagnostic tool for VUR.
  • Understanding VUR characteristics and grading is essential for patient management.

Purpose of the Study:

  • To compare VUR-associated imaging characteristics.
  • To categorize pediatric VUR patients by reflux grade.
  • To identify factors influencing VUR occurrence and severity.

Main Methods:

  • Retrospective analysis of 183 pediatric patients.
  • Utilized contrast-enhanced voiding urosonography (ceVUS) for VUR diagnosis.
  • Categorized patients based on VUR grade and clinical data.

Main Results:

  • VUR detected in 38.9% of children, mean age 1.7 years.
  • Grade II VUR (60.3%) was most prevalent, followed by Grade III (29.4%).
  • VUR correlated with recurrent UTIs; severe VUR more common in boys, moderate in girls.

Conclusions:

  • VUR incidence was 28.6% in prenatal hydronephrosis cases.
  • VUR occurrence was independent of age, gender, or UTI severity.
  • Recommended ceVUS integration into Croatian UTI treatment algorithms for pediatric VUR diagnosis.

Keywords:
ChildrenContrast-enhanced voiding urosonography (ceVUS)Vesicoureteral reflux

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