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Ultrasound Cystography in the Diagnosis of Vesicoureteric Reflux
Author(s) -
HANBURY D. C.,
COULDEN R. A.,
FARMAN P.,
SHERWOOD T.
Publication year - 1990
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1990.tb14720.x
Subject(s) - vesicoureteric reflux , cystography , reflux , cystourethrography , ultrasound , medicine , urinary system , urology , radiology , surgery , vesicoureteral reflux , disease
Summary— Vesicoureteric reflux is common in children with urinary tract infection and may cause end‐stage renal failure. The diagnosis is usually based on micturating cystourethrography (MCU). We describe an alternative technique using ultrasound during bladder infusion with agitated saline. Comparison of the 2 methods shows ultrasound to be 100% sensitive in the detection of grades 3 and 4 reflux. Conclusive evidence of reflux was seen in 2 cases where MCU was subsequently normal, questioning the role of MCU as the gold standard.