To determine the relationship between vaginal reflux (VR) and urinary tract infection (UTI) in female children aged <36 months. A single center retrospective study was performed for 191 girls aged <36 months, with a diagnosis of febrile UTI, who underwent a voiding cystourethrography (VCUG) for assessment of vesicoureteral reflux (VUR) at Sanggye Paik Hospital. Fifty-one girls, who underwent VCUG for assessment... |
Purpose : To evaluate the significance of clinical signs and laboratory findings as predictors of renal parenchymal lesions and vesicoureteral reflux (VUR) in childhood urinary tract infection (UTI). Methods : From July 2005 to July 2008, 180 patients admitted with a first febrile UTI at the Pediatric Department of Konkuk University Hospital were included in this study. The following were... |
Purpose : We evaluated the occurrence of renal scarring in children with unilateral vesicoureteral reflux(VUR), and the relationships between renal scar formation and risk factors such as VUR, duration of fever, acute-phase reactant, age, and sex. Methods : We retrospectively analyzed the data of 35 children newly diagnosed with unilateral vesicoureteral reflux after urinary tract infection(UTI) in Wallace Memorial Baptist... |
Purpose : This study aimed to examine the excretion of various urinary proteins in children with a history of urinary tract infection(UTI), with or without vesicoureteral reflux(VUR) or reflux nephropathy, and to identify means of predicting the severity of VUR or the presence of reflux nephropathy as indicated by these markers, and to know how these markers are changed after... |
Purpose : Vesicoureteral reflux(VUR) is defined as a retrograde flow of urine from the bladder into the upper urinary tract. It has been shown to predispose patients to hypertension, renal scarring, and end-stage renal failure if not recognized and treated. The observation that VUR occurs in siblings of children with reflux at a significantly higher rate than the general pediatric... |
Purpose : The pathophysiologic mechanisms and risk factors of renal functional deterioration are still controversial. We analyzed the factors associated with renal failure in children with primary vesicoureteral reflux. Methods : The medical records of 166 children who were diagnosed with primary vesicoureteral reflux from Jan. 1985 to Dec. 1996 in the Department of Pediatrics, Seoul National University Children's Hospital... |
Purpose : Vesicoureteral reflux(VUR) is the major cause of urinary tract infection (UTI) in children. Prolonged untreated UTI associated with VUR may result in serious complications, such as renal scarring, renal atropy, and decreased renal function. Therefore, follow up must be continued until UTI is cured completely, to prevent of serious complication. The authors conducted this study to evaluate results of the follow-up of... |
Purpose : Urinary tract infection(UTI) in children may be cause of end stage renal failure and hypertension. So, early detection of renal scar, vesicoureteral reflux(VUR) and anomaly, and proper management are important. We carried this study to observe the significance of 24 hours urine β2-microglobulin(β2-MG) for predicting renal injury and correlation of β2-MG with the grade of VUR. Methods : We... |
The vesicoureteral reflux (VUR) is frequently found among the patients with urinary tract infection (UIT) and some patients with VUR progress to reflux nephropathy. The presence of scarring at UIT is an important determinant in the selection of those at risk of progressive damage. 99m Technetium dimercaptosuccinic acid (99mTc-DMSA) is a renal scanning agent provides a good quality of renal image... |
The authors studied 25 cases with urinary tract infection associated with vesicoureteral reflux who were admitted to department of pediatrics, National Medical Center. The patients were managed medically or surgically and followed up. The results were summarized as follows; 1) There were no difference in age and sex distributions of the 25 cases with vesicoureteral reflux. 2) The degree of reflux classified by International... |
Nephrogenic diabetes insipidus is a disorder characterized by polydipsia and polyuria resulting from failure of the renal tubules and collecting ducts to respond to antidiuretic hormone despite elevated blood levels of antidiuretic hormone. We experienced a case of nephrogenic diabetes insipidus in 13 months-old girl probably secondary to vesicoureteral reflux grade IV. The clinical manifestations were extreme thirst, polydipsia and polyuria. Family history was nonspecific and... |
The vesicoureteral reflux(VUR) is frequently found among the patients with urinary tract infection(UTI) and progress to reflux nphropathy and even renal failure. So, early detection and pr er treatment are important to prevent renal damage. The authors studied 221 patients with UTI admitted at Sowha children’s hospital from January, 1985 to June, 1988. Intravenous pyelography and voiding cystourethrography were performed in all patient with UTI. The... |
Vesicoureteral reflux is the regurgitation of bladder urine into the upper urinary tract regardless of urinary tract infection. The results of vesicoureteral reflux are renal scarring, hypertension and proteinuria etc. We experienced a case of vesicoureteral reflux associated with cardiomyopathy in a 10 year old female patient who had dyspnea and orthopnea and treated with surgical and medical therapy. A brief review of the related... |
Episodic flank or abdominal pain with or without nausea and vomiting is most common manifesta- tion of intermittent hydronephrosis. Between episodes of pain, the patient may be asymptomaitc and intravenous urogram usually will be normal. This condition is diagnosed by intravenous urogram or ultrasonogram taken either during episodes of pain or after hydronephrosis precipitated by use of duretics or ingestion of alcoholic beverage, particulary... |
Ureteral duplication is one of the most common congenital malformations of the urinary tract. Incomplete duplication rarely causes clinical problems, but complete duplication often accompanies complications of a varying degree. We herein analyzed, retrospectively, 90 cases with ureteral duplication who were admitted to Yonsei University Severance Hospital during 13.5 years. There were 28 cases under age of 15 years. Thirty-four cases... |
Vesicoureteral reflux is the problem frequently found among the patients with, urinary tract infection and is the most common cause of the chronic pyelonephritis in children, and renal scarring and renal growth retardation due to reflux and infection is the most important cause of hypertension and renal failure. The authors studied clinically 13 cases with urinary tract infection associated with... |
In urinary tract infection of childhood, the intravenous pyelogram is helpful in identifying gross malformations of urinary tract and appraising gross renal function. The voiding cystourethrogram evaluates configuration and function of the lower urinary tract and is most useful for delineating the presence and severity of vesicoureteral reflux. The intravenous pyelogram is suggested for every male patients with one documented... |