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https://www.readbyqxmd.com/read/27579401/adult-presentation-of-ectopic-vas-deferens-with-dysplastic-kidney
#1
Yusuf Saifee, Pranjal Modi
A 24-year-old male presented with voiding lower urinary tract symptoms. On evaluation, the patient was found to have midbulbar urethral stricture and right dysplastic pelvic kidney with right vesicoureteral reflux. A micturating cystourethrogram (MCUG) shows opacification of the right vas deferens along the entire course till the testis. The patient underwent end-to-end urethroplasty. But soon the patient presented with urinary tract infection (UTI) and epididymorchitis in the follow-up period. The patient was explored laparoscopically to remove dysplastic kidney and ectopic vas deferens...
2016: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/27429918/prenatal-ultrasound-diagnosis-of-1-case-of-vesicoureteral-reflux
#2
Tao Zhang, Shali Wu
Vesicoureteral reflux (VUR) is defined as a retrograde flow of urine from the urinary bladder to the kidneys. VUR can lead to renal damage in presence of urinary tract infection. In this case report, we performed prenatal ultrasound diagnosis to identify VUR of a fetus. Furthermore, this VUR case was confirmed by postnatal micturating cystourethrogram (MCUG). Hence, prenatal ultrasound detection of VUR is considered to be useful because it may provide us evidence to design therapeutic strategy to prevent potential renal damage as early as possible...
June 2016: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/27230383/micturating-cystourethrogram-as-a-tool-for-investigating-uti-in-children-an-institutional-audit
#3
L Hua, R J Linke, H A P Boucaut, S Khurana
BACKGROUND: Micturating cystourethrograms (MCUG) are the gold standard for evaluating vesicoureteric reflux (VUR). There is a growing consensus for increasing the threshold for performing MCUGs following urinary tract infections (UTI) in children. There are several varying guidelines. It is important to detect high-grade reflux in the setting of an UTI because of potential long-term complications. OBJECTIVE: This audit aimed to retrospectively: (1) identify the conformance rate of local guidelines at the Women's and Children's Hospital (WCH); (2) assess predictors for an abnormal MCUG; and (3) compare local guidelines against the Royal Children's Hospital, Melbourne (RCH), National Institute for Healthcare and Excellence (NICE), and American Academy of Pediatrics (AAP) guidelines for selectively detecting high-grade reflux...
April 16, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27170916/renal-agenesis-with-full-length-ipsilateral-refluxing-ureter
#4
Dilip Kumar Pal, Vipin Chandra, Manju Banerjee
Unilateral renal agenesis with vesicoureteral reflux in the ipsilateral full length ureter is a rare phenomenon. Herein we report a case of 10-year old boy who presented with recurrent urinary tract infections. No renal tissue was identified on left side in various imaging studies. Micturating cystourethrogram (MCUG) showed left sided refluxing and blind ending ureter. Left ureterectomy was done because of recurrent UTI in the refluxing system.
May 2016: APSP Journal of Case Reports
https://www.readbyqxmd.com/read/25452974/sonourethrography-in-the-evaluation-of-anterior-urethral-stricture
#5
Cc Ani, Ic Akpayak, Nk Dakum, Vm Ramyil, Si Shuaibu
BACKGROUND: The management of urethral stricture is a challenge to both the urologists and the patients. Thoughtful and satisfactory preoperative evaluation remains important to achieving good outcome. Retrograde urethrography and Micturating Cystourethrography (RUG/MCUG) have been the gold standard imaging technique in the evaluation of anterior urethral stricture but are not without inherent limitations and side effects. Sonourethrography (SUG) could diagnose anterior urethral stricture, measure its length, and detect presence of complications and extent of spongiofibrosis...
January 2012: Journal of the West African College of Surgeons
https://www.readbyqxmd.com/read/24993242/recurrent-urinary-tract-infections-in-young-children-role-of-dmsa-scintigraphy-in-detecting-vesicoureteric-reflux
#6
COMPARATIVE STUDY
Muhammad Awais, Abdul Rehman, Maseeh Uz Zaman, Naila Nadeem
BACKGROUND: Performing micturiting cystourethrography (MCUG) in young children with recurrent urinary tract infections is controversial with discrepancy among the major guidelines. OBJECTIVE: Previous studies have shown that a normal dimercaptosuccinic acid (DMSA) scintigraphy may avoid the need of performing MCUG for detecting vesicoureteric reflux in children with first febrile urinary tract infection. However, the role of DMSA for ruling out vesicoureteric reflux in children with recurrent urinary tract infections has not been studied...
January 2015: Pediatric Radiology
https://www.readbyqxmd.com/read/24899328/clinical-profile-and-antibiotics-sensitivity-in-childhood-urinary-tract-infection-at-dhulikhel-hospital
#7
S D Singh, S K Madhup
BACKGROUND: Urinary Tract Infection implies presence of actively multiplying organisms in the urinary tract. Although it is infrequently associated with mortality, it is still a significant cause of morbidity. Early diagnosis is critical to preserve renal function of growing kidney. OBJECTIVE: Our purpose was to determine the clinical, microbiologic profile and antibiotic sensitivity of such infections in pediatric Urinary Tract Infection (UTI) patients at Dhulikhel Hospital...
October 2013: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/24097749/primary-vesicoureteric-reflux-in-nepalese-children
#8
S Shrestha, S Basukala, N Pokhrel
Background: Vesicoureteric reflux (VUR) is a common urinary tract abnormality observed in children with urinary tract infection and children with VUR are at risk of reflux nephropathy and renal parenchymal damage. In Nepal, till date there are no published series of VUR in children. Aims and Objectives: To study the incidence of VUR in Nepalese children with Urinary tract infection (UTI), to analyze the age and sex wise distribution and clinical course of children with VUR together with the rate of spontaneous resolution of VUR in children Methodology: A retrospective hospital based study conducted at Department of Paediatrics Patan Hospital from June 2002 to December 2005...
January 2008: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/24084519/patient-entrance-surface-dose-measurements-using-xr-qa2-gafchromic-films-during-micturating-cystourethrography-procedures
#9
K Soliman, A Alenezi
The aim of this study was to test the feasibility of using Gafchromic XR-QA2 films in the measurements of patient entrance surface dose (ESD) during the micturating cystourethrogram (MCUG) examination in paediatric patients. Radiochromic films were used to map the entrance dose and to identify the location of peak surface dose (PSD). Direct in vivo measurements of entrance dose were conducted by placing a radiochromic film between the patient and the examination table. The measured ESD values for the commonly performed MCUG fluoroscopic examinations at the authors' institution was in the range of 1...
January 2014: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/24082435/endoscopic-treatment-of-vesicoureteric-reflux-with-dextranomer-hyaluronic-acid-copolymer-deflux-single-surgeon-experience-with-48-ureters
#10
V V S Chandrasekharam
PURPOSE: VUR is a common urologic problem in children. Cystoscopic injection of bulking agents (most commonly Deflux) has gained popularity as the first line treatment in the west. However, primarily due to cost factors, it has not gained much popularity in our country. We present our initial experience with cystoscopic Deflux injection for VUR. MATERIALS AND METHODS: We reviewed our 3-yr experience with the use of Dx/HA (Deflux) for correction of VUR in children and adolescents...
July 2013: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/23771301/maximizing-the-sensitivity-of-the-indirect-radionuclide-cystogram-a-retrospective-audit
#11
Michael J Keir, Heather J Lambert, Malcolm G Coulthard
BACKGROUND: The indirect radionuclide cystogram (IRC) has generally been reported as being less sensitive for detecting vesico-ureteric reflux (VUR) than the micturating cystourethrogram (MCUG), so we modified it in an attempt to increase its sensitivity. METHODS: We altered our routine IRC protocol by including the data obtained during failed voids, adding extra imaging sequences at intervals during bladder filling, and by using simple mathematical criteria to determine if VUR was present when visual imaging results were equivocal...
November 2013: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/23680849/management-of-urinary-tract-infection-in-a-tertiary-children-s-hospital-before-and-after-publication-of-the-nice-guidelines
#12
Agnieshka Judkins, Elaine Pascoe, Donald Payne
INTRODUCTION: The UK National Institute for Health and Clinical Excellence (NICE) introduced guidelines for the diagnosis, treatment and management of urinary tract infection (UTI) in children and adolescents in August 2007. AIM: The primary aim was to determine whether publication of NICE guidelines was associated with a change in the use of diagnostic imaging investigations in patients with a documented first UTI in a tertiary children's hospital. Secondary aims were to describe the epidemiology, microbiology, prescription of prophylactic antibiotics and follow-up for these children, and the incidence of structural renal tract abnormalities, vesicoureteric reflux and renal uptake defects identified...
July 2013: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/23543225/laparoscopy-assisted-anorectal-pull-through-in-anorectal-malformations-a-reappraisal
#13
David C van der Zee, Pieter Dik, Frederik J Beek
BACKGROUND: Anorectal malformation is a complex anomaly with a broad variety of expressions. There are different techniques available for correction of the anomaly, all with their specific morbidity. Recently, much attention has been paid to acquired posterior urethral diverticulum after correction of anorectal malformation. The aim of this retrospective study was to reappraise the laparoscopic approach to correction of the anorectal malformation with respect to what can be prevented and what can be improved...
August 2013: World Journal of Surgery
https://www.readbyqxmd.com/read/23402701/surgical-technique-utriculus-masculinum-excision-by-a-laparoscopic-cystoscopic-approach
#14
Francisca Yankovic, Maria Grazia Scuderi, Naima Smeulders
OBJECTIVE: A utriculus masculinum is encountered in 12% of hypospadias. However, patients rarely present with symptoms, such as post-void incontinence or infection. We describe a combined laparoscopic-cystoscopic approach to overcome the challenge posed by the location of the utriculus deep within the pelvis and to accurately identify the confluence of the utriculus with the urethra. METHODS: A 12-year-old boy with Williams syndrome and previous hypospadias surgery presented with new-onset progressive day-time incontinence...
June 2013: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/23238363/interactive-magnetic-resonance-imaging-for-paediatric-vesicoureteric-reflux-vur
#15
Owen J Arthurs, Andrea D Edwards, Ilse Joubert, Martin J Graves, Pat A K Set, David J Lomas
OBJECTIVES: The current gold standard for diagnosing vesicoureteric reflux in unsedated infants is the X-ray-based Micturating CystoUrethroGram (MCUG). The aim of this study was to assess the diagnostic performance of interactive MRI for voiding cysto-urethrography (iMRVC). METHODS: 25 infants underwent conventional MCUG followed by iMRVC. In iMRVC, patients were examined using a real-time MR technique, which allows interactive control of image contrast and imaging plane location, before, during and after micturition...
March 2013: European Journal of Radiology
https://www.readbyqxmd.com/read/22368908/significance-of-pyuria-in-the-diagnosis-of-urinary-tract-infections-in-neonates
#16
Arshalooz J Rahman, Farah Naz, Sohail Ashraf
OBJECTIVES: To determine the significance of pyuria as a predictor of culture proven urinary tract infections (UTI) in neonates and to assess the frequency of urinary tract anomalies in neonates with pyuria. METHODS: Prospective study conducted at the neonatal intensive care unit of a tertiary care hospital; (Liaquat National Hospital Karachi) for a period of 4 months from April 2008 to August 2008. One hundred and ten consecutive infants < or = 28 days of age admitted to the NICU of Liaquat National Hospital for medical reasons were included in the study...
January 2011: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/22346096/patients-with-a-history-of-infection-and-voiding-dysfunction-are-at-risk-for-recurrence-after-successful-endoscopic-treatment-of-vesico-ureteral-reflux-and-deserve-long-term-follow-up
#17
R Coletta, C Olivieri, V Briganti, M L Perrotta, L Oriolo, F Fabbri, A Calisti
AIM OF THE STUDY: Subureteral endoscopic injection of a bulking agent is an attractive alternative to open surgery or antibiotic prophylaxis for vesico ureteral reflux (VUR). Little information is available about long-term risk of recurrence after an initially successful treatment. Aim of this paper was to review short- and long-term success rate of endoscopic treatment in a single Center series after risk stratification of individual patients. MATERIALS AND METHODS: The records of 126 patients who underwent Deflux injection for primary VUR were examined...
January 2012: Urology Annals
https://www.readbyqxmd.com/read/21499959/interactive-magnetic-resonance-voiding-cystourethrography-imrvc-for-vesicoureteric-reflux-vur-in-unsedated-infants-a-feasibility-study
#18
Owen J Arthurs, Andrea D Edwards, Ilse Joubert, Martin J Graves, Pat A K Set, David J Lomas
OBJECTIVES: The current reference standard for diagnosing vesicoureteric reflux is the X-ray-based Micturating CystoUrethroGram (MCUG). The aim of this study was to evaluate the feasibility of performing interactive Magnetic Resonance voiding cysto-urethrography (iMRVC) in un-sedated infants. METHODS: Twelve infants underwent conventional single-cycle MCUG followed by iMRVC. In iMRVC, patients were examined using an in-house developed fluoroscopic pulse sequence, which allows on-the-fly control of image contrast and geometry...
September 2011: European Radiology
https://www.readbyqxmd.com/read/21124660/posterior-urethral-valves-morphological-normalization-of-posterior-urethra-after-fulguration-is-a-significant-factor-in-prognosis
#19
Prema Menon, K L N Rao, S Vijaymahantesh, R P Kanojia, R Samujh, Y K Batra, K S Sodhi, A K Saxena, A Bhattacharya, B R Mittal
AIM: To assess the changes in urethral morphology 3 months post fulguration of posterior urethral valves (PUVs) on micturating cystourethrogram (MCUG) and correlate these changes with the overall clinical status of the patient. MATERIALS AND METHODS: A total of 217 children, managed for PUVs during a period of 6 years in a single surgical unit were prospectively studied. The ratio of the diameters of the prostatic and bulbar urethras (PU/BU) was calculated on the pre- and post-fulguration MCUG films...
July 2010: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/20556431/evaluating-different-imaging-strategies-in-children-after-first-febrile-urinary-tract-infection
#20
MULTICENTER STUDY
Sik-Nin Wong, Niko Kei-Chiu Tse, Kwok-Piu Lee, So-Fun Yuen, Lettie Chuk-Kwan Leung, Benjamin Chee-Kit Pau, Winnie Kwai-Yu Chan, Kwok-Wai Lee, Hon-Ming Cheung, Stella Chim, Cynthia Mung-Sze Yip
We conducted a retrospective multicenter review to estimate the prevalence of urological abnormalities in Chinese children with first febrile urinary tract infection (UTI) and to evaluate the selective imaging strategy recommended by the NICE guideline for detecting underlying abnormalities. Atypical UTI was defined as in the NICE UTI guideline. Overall, 576 boys and 244 girls aged below 24 months were reviewed. All underwent ultrasound (US) and micturating cystourethrogram (MCUG) and 612 underwent DMSA scans...
October 2010: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
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