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Updated: Jan 7, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Adult Vesicoureteral Reflux Diagnosed and Managed Using Video-Urodynamics
Sakiko Teramoto1, Shingo Nagai1, Kazumasa Murase1
1Division of Urology Toyota Memorial Hospital Toyota Aichi Japan.
This case study highlights video-urodynamics for diagnosing adult vesicoureteral reflux (VUR). The technique aided in planning treatment for a patient with recurrent pyelonephritis, leading to successful surgical resolution of VUR.
Area of Science:
- Urology
- Diagnostic Imaging
- Nephrology
Background:
- Adult vesicoureteral reflux (VUR) can lead to recurrent pyelonephritis and renal dysfunction.
- Diagnosis of VUR in adults can be challenging, often requiring advanced imaging techniques.
Purpose of the Study:
- To present a case of adult VUR diagnosed and managed using video-urodynamics.
- To emphasize the utility of video-urodynamics in complex adult VUR cases.
Main Methods:
- A 65-year-old male with recurrent pyelonephritis and renal dysfunction underwent video-urodynamics.
- The study utilized computed tomography and video-urodynamics for diagnosis.
- Anti-reflux surgery (Cohen method) was performed for treatment.
Main Results:
- Video-urodynamics revealed bilateral VUR despite preserved bladder function.
- The patient experienced complete resolution of VUR after undergoing the Cohen anti-reflux procedure.
- Primary VUR was suspected due to the severity of reflux with normal bladder capacity.
Conclusions:
- Video-urodynamics is a valuable tool for diagnosing VUR in adults.
- This technique aids in treatment planning for adult VUR, especially in cases with underlying urinary dysfunction.
- Management of adult VUR can be optimized with advanced diagnostic methods like video-urodynamics.
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