Pediatrics: Vesicoureteral Reflux: Difference between revisions
Urology4all (talk | contribs) |
Urology4all (talk | contribs) |
||
| Line 127: | Line 127: | ||
=== Labs === | === Labs === | ||
* '''UTI''' | * '''<span style="color:#ff0000">UTI''' | ||
** '''Confirmation of UTI is paramount in the appropriate management of the patient with VUR''' | ** '''<span style="color:#ff0000">Confirmation of UTI is paramount in the appropriate management of the patient with VUR''' | ||
*** The method of urine collection and the presence of pyuria are of utmost importance in the diagnosis of UTI to avoid false-positive culture results | *** The method of urine collection and the presence of pyuria are of utmost importance in the diagnosis of UTI to avoid false-positive culture results | ||
*** '''<span style="color:#ff0000">US of the kidneys and bladder can be considered a reasonable minimum evaluation in the infant or child after a UTI''' | *** '''<span style="color:#ff0000">US of the kidneys and bladder can be considered a reasonable minimum evaluation in the infant or child after a UTI''' | ||
| Line 137: | Line 137: | ||
==== Lower Urinary Tract ==== | ==== Lower Urinary Tract ==== | ||
* '''Modality''' | * '''<span style="color:#ff0000">Modality''' | ||
**'''Voiding cystourethrogram (VCUG) and radionuclide cystogram (RNC)''' | **'''<span style="color:#ff0000">Voiding cystourethrogram (VCUG) and radionuclide cystogram (RNC)''' | ||
***Two most common forms of direct cystography | ***Two most common forms of direct cystography | ||
***'''Present-day gold standard approaches to detect VUR''' | ***'''<span style="color:#ff0000">Present-day gold standard approaches to detect VUR''' | ||
***'''Both VCUG and RNC require catheterization''' | ***'''Both VCUG and RNC require catheterization''' | ||
***'''Radionuclide Cystogram (RNC)''' | ***'''Radionuclide Cystogram (RNC)''' | ||
| Line 225: | Line 225: | ||
** The assessment of appearance and configuration of the ureteric orifices and intramural tunnel length provide little correlation with either the diagnosis or grade of reflux | ** The assessment of appearance and configuration of the ureteric orifices and intramural tunnel length provide little correlation with either the diagnosis or grade of reflux | ||
** '''The cystoscopic position of the refluxing ureteric orifice is permanent lateral displacement''' | ** '''The cystoscopic position of the refluxing ureteric orifice is permanent lateral displacement''' | ||
== Complications of Acquired Scarring == | == Complications of Acquired Scarring == | ||