Aims and objectives
As contrast-enhanced voiding ultrasonography (CeVUS) is nowadays preformed routinely in radiology practice,
considered the gold standard for the diagnosis of vesicoureteral reflux (VUR),
we conducted a retrospective study to analyze its efficacy in the screening and follow-up of VUR and to present our experience with its use in the six-month period.
Methods and materials
Consecutive patients who underwent CeVUS between March 2017 and September 2017 were included in this retrospective study.
All patients were admitted to hospital for one-day hospitalization and observed for several hours in the cases of adverse effects to the contrast agent.
Every patient received a four-day scheme antibiotic prophylaxis—the first dose on the day of the procedure,
and the next three doses the following three days.
The indications for the procedure were urinary tract infections; follow-up in patients with previously diagnosed VUR; postoperative follow-up and...
Between March 2017 and September 2017,
CeVUS was performed in 98 consecutive patients (M:F=44:54).
The average patient age was 2 years (range 1 month – 12 years).
The indications and their frequencies are presented in Table 1 .
49 (50%) of the patients (M:F=19:30) had a positive result and 45 (46%) of them (M:F=24:21) had a negative one.
Four of the patients (4%) with negative result didn’t manage to void during the examination so the procedure was considered inadequate.
66 of the patients hadn’t undergone...
Vesicoureteral reflux (VUR),
defined as the retrograde flow of urine from the bladder back up the ureter into the kidney,
is present in 30% to 40% of children with a UTI and is associated with a higher risk of renal scarring. It is a congenital condition that may resolve or improve over time.
Because of the relatively high prevalence of renal scarring,
it is prudent to understand how to identify VUR,
potential problems associated with chronic VUR,
and the most effective therapeutic strategies.
Skoog S ; Surgical management of vesicoureteral reflux in children.
2012 Apr; 27(4): 551–561
Süleyman Çelebi et al.; Reliability of the Grading System for Voiding Cystourethrograms in the Management of Vesicoureteral Reflux: An Interrater Comparison,
Advances in Urology,
Darge K; Voiding urosonography with ultrasound contrast agents for the diagnosis of vesicoureteric reflux in children,
Faizah M Z,
Hamzaini A H,
Dayang A A A,
Zulfiqar M A;...