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Excretory Urography and Cystourethrography in the Evaluation of Children with Urinary Tract Infection

1984; SAGE Publishing; Volume: 23; Issue: 5 Linguagem: Inglês

10.1177/000992288402300504

1938-2707

Rephael Drachman, Melly Valevici, Peter A. Vardy,

Urological Disorders and Treatments

One hundred and ninety-one children with a first episode of urinary tract infection (UTI) underwent intravenous pyelography (IVP) and voiding cystourethrography (VCU). Only three children (1.5%) had positive findings in the IVP that were of prognostic significance and were confined to that particular investigation alone. In contrast, 97 (50.7%) of the VCUs showed an atomical abnormalities. Vesico-ureteral reflux (VUR) of varying grades was diagnosed in 77 children (40.3%). These findings stress the importance of radiological investigation of the urinary tract after the first incidence of UTI, but suggest that IVP will give information of therapeutic and/or prognostic value in a small number of cases.