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Natural history of vesicoureteral reflux associated with kidney anomalies
- Source :
-
Urology . Jun2005, Vol. 65 Issue 6, p1208-1211. 4p. - Publication Year :
- 2005
-
Abstract
- Abstract: Objectives: To evaluate the cystographic follow-up of patients with multicystic dysplastic kidney (MCDK), renal agenesis, and renal ectopia with associated primary vesicoureteral reflux (VUR). Methods: Patients with primary associated VUR (grade 2 or more) and with a minimal follow-up of 24 months were included in this study. Results: Of the children with renal agenesis, 24% had VUR. The median grade of VUR was significantly greater in the boys than in the girls (4 versus 2, respectively; P <0.05). All girls and 34% of the boys experienced spontaneous resolution 1 year after diagnosis; 66% of the boys required operative treatment. Of the patients with MCDK, 16% had VUR. The median grade of VUR in the kidney contralateral to the MCDK was greater in the boys than in the girls (3.5 versus 2, respectively; P = 0.06). All girls and 60% of the boys had spontaneous resolution 1 year after diagnosis; 40% of the boys underwent operative treatment. Of the children with renal ectopia, 30% had VUR. The median grade of VUR for the refluxing unit was significantly greater in the girls than in the boys (3 versus 2, respectively; P <0.05). Spontaneous resolution of VUR was observed in all boys (66% at 1 year) and in 40% of the girls; 60% of the girls required operative treatment. Conclusions: Spontaneous resolution of VUR can be anticipated in girls with MCDK or renal agenesis and in boys with renal ectopia. These data can be used in planning the proper follow-up schedule for babies with a kidney anomaly detected by ultrasonography. [Copyright &y& Elsevier]
Details
- Language :
- English
- ISSN :
- 00904295
- Volume :
- 65
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Urology
- Publication Type :
- Academic Journal
- Accession number :
- 18003590
- Full Text :
- https://doi.org/10.1016/j.urology.2005.01.044