A meta-analysis of the incidence and fate of contralateral vesicoureteral reflux in unilateral multicystic dysplastic kidney

Erlich, Tomer; Lipsky, Ari M.; Braga, Luis H.

doi:10.1016/j.jpurol.2018.10.023

Cited by 16 publications

(12 citation statements)

References 23 publications

(18 reference statements)

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“…There are three major issues in patients with unilateral MCDK and the fate of the contralateral functioning kidney [8]. Firstly, MCDK may undergo complete or partial involution within time [9].…”

Section: Introductionmentioning

confidence: 99%

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Retrospective evaluation of the pediatric multicystic dysplastic kidney patients: experience of two centers from southeastern Turkey

Kara¹,

Taktak²,

Alparslan³

2021

Turk J Med Sci

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Section: Introductionmentioning

confidence: 99%

“…Secondly, although it is presumably thought to have increased risk for the incidence of Wilms tumor in the past, it is not widely accepted today [10]. And thirdly, the risk of hypertension in MCDK has been found to be high but no higher than in the general pediatric population [8].…”

Section: Introductionmentioning

confidence: 99%

Retrospective evaluation of the pediatric multicystic dysplastic kidney patients: experience of two centers from southeastern Turkey

Kara¹,

Taktak²,

Alparslan³

2021

Turk J Med Sci

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“…With the increasing diagnosis of asymptomatic renal anomalies by comprehensive screening programs, MCDK has become one of the most commonly identified congenital anomalies of the urinary tract (13,14). Now that the benign natural history of MCDK is more clearly understood, a non-surgical approach has recently become more popular (2,4,15). However, debate and problems have been continuing in the implementation process in China.…”

Section: Discussionmentioning

confidence: 99%

“…In patients with MCDK, the embryonic structure and the development of the renal cortex in the involved kidney(s) are abnormal, and are replaced by multiple non-communicating cysts of varying sizes. Several studies have shown that MCDK has the tendency to involute (3)(4)(5)(6), and the involution rate increases with age, which explains why MCDK is rarely found in adults. The rate of hypertension in children with MCDK is lower than in the general population (7).…”

Section: Introductionmentioning

confidence: 99%

“Watch and Wait” Strategy for Multicystic Dysplastic Kidney (MCDK): Status Survey of Perceptions, Attitudes, and Treatment Selection in Chinese Pediatric Urologists and Pediatric Surgeons

2020

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To investigate the perceptions, attitudes, and treatment selection of Chinese pediatric urologists and pediatric surgeons regarding a "watch and wait" strategy for multicystic dysplastic kidney (MCDK). We used a cross-sectional survey in this study. We sent the questionnaire to pediatric urologists and pediatric surgeons to capture their views via the "Questionnaire Star" online survey platform between November and December 2019. The questionnaire contained the basic information and surgical experiences of the respondent, respondents' awareness regarding the counseling of prenatally-diagnosed MCDK and the treatment of MCDK, and respondents' knowledge regarding the imaging modalities, frequency, and duration of follow-up. Of the 200 questionnaires we sent, we received 151 responses. Of those 151 complete responses, most respondents were women (n = 104, 68.9%), pediatric urologists (n = 78, 51.6%), and practicing with at least 5 years of surgical experience (n = 112, 74.2%); 11.9% reported >20 years' experience. Eighty-two surgeons (54.3%) provided positive counseling for prenatally-diagnosed MCDK. Ninety-nine surgeons (65.6%) advocated conservative management for MCDK, and only 14.8% of respondents suggested limiting the use of radiographic evaluation for MCDK. Surgeons working in academic teaching facilities and those from East China were more likely to select a "watch and wait" strategy. Chinese pediatric urologists and pediatric surgeons have inadequate knowledge of the "watch and wait" strategy for MCDK. An expert consensus on the strategy of "watch and wait" for MCDK in China is urgently needed to promote the application of this non-surgical treatment mode in clinical practice. A larger sample size is required to fully identify the current opinion of Chinese pediatric urologists and pediatric surgeons regarding the management of MCDK.

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“…Basisdiagnostik sein sollte [50]. Ismaili et al prüften bei Neugeborenen mit multizystischer Niere den prognostischen Wert zweier aufeinanderfolgender Ultraschalluntersuchungen für einen VUR.…”

Section: Beispiel 3: Multizystische Niereunclassified

Refluxdiagnostik – Stellenwert des Miktionszystourethrogramms

Beetz

2019

Aktuel Urol

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ZusammenfassungDas radiologische Miktionszystourethrogramm gilt in der Kinderurologie seit Langem als Goldstandard zur Refluxprüfung. In den zurückliegenden Jahrzehnten haben sich daneben zusätzliche kontrastmittelgestützte Verfahren wie die sonografische Refluxprüfung oder die Radionuklidzystografie etabliert. Ihr Hauptindikationsgebiet liegt in der Reflux-Diagnostik nach Pyelonephritis im Säuglings- und Kindesalter. Für die Auswahl der geeigneten Methode spielen klinische Fragestellung, Verfügbarkeit, ökonomische Aspekte, personeller und zeitlicher Aufwand und das Ziel der geringstmöglichen Strahlenbelastung bei maximalem Informationsgehalt eine Rolle. Moderne Strategien streben unabhängig von der Methode der Refluxprüfung eine risikoorientierte, individuelle Indikationsstellung an.

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A meta-analysis of the incidence and fate of contralateral vesicoureteral reflux in unilateral multicystic dysplastic kidney

Cited by 16 publications

References 23 publications

Retrospective evaluation of the pediatric multicystic dysplastic kidney patients: experience of two centers from southeastern Turkey

Retrospective evaluation of the pediatric multicystic dysplastic kidney patients: experience of two centers from southeastern Turkey

“Watch and Wait” Strategy for Multicystic Dysplastic Kidney (MCDK): Status Survey of Perceptions, Attitudes, and Treatment Selection in Chinese Pediatric Urologists and Pediatric Surgeons

Refluxdiagnostik – Stellenwert des Miktionszystourethrogramms

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