Fetal Vesicoureteral Reflux: Outcome Following Conservative Postnatal Management

Burge, D.M.; Griffiths, Mervyn; Malone, P.S.; Atwell, J. D.

doi:10.1016/s0022-5347(17)37018-0

Cited by 102 publications

(46 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This enabled easy control without medication in 95% of cases with UTI. A Nonomura/Kanno/Kakizaki/Koyama/ Yamashita/Koyanagi high spontaneous resolution rate of primary VUR is reported, especially in newborn babies [16,17]. Nevertheless, spontaneous resolution rate of VUR in infants of our series was better than that of their reports though the periods and methods of follow-up are not the same.…”

Section: Discussioncontrasting

confidence: 68%

Impact of Congenital Narrowing of the Bulbar Urethra (Cobb’s Collar) andIts Transurethral Incision in Children

et al. 1999

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 68%

Impact of Congenital Narrowing of the Bulbar Urethra (Cobb’s Collar) andIts Transurethral Incision in Children

et al. 1999

View full text Add to dashboard Cite

“…This large consecutive series allows the relationships between there remains a proportion with evidence suggestive of congenital renal malformation [1,3,[5][6][7][8][9]. The presenting gender, kidney damage and severity of VUR to be better evaluated and understood.…”

mentioning

confidence: 99%

The characteristics of primary vesico‐ureteric reflux in male and female infants with pre‐natal hydronephrosis

YEUNG,

GODLEY,

DHILLON

et al. 1997

British Journal of Urology

253

139

View full text Add to dashboard Cite

Objective To examine the characteristics of primary vesico‐ureteric reflux (VUR) in young infants following prenatal hydronephrosis. Patients and methods The study comprised 155 consecutive infants with VUR detected at a mean age of 8.7 weeks (sd 6.3). Reflux units (n=236) were analysed for relationships between gender, severity of reflux, exposure to urinary tract infection (UTI) and the presence of focal and generalized types of kidney damage on imaging. Bladder wall thickness (from ultrasonography) was examined in comparison with a further group of 29 males without VUR. Results Male infants predominated (117 of 155, 75%); bilateral VUR affected the same proportion (52%) of males and females. Most kidneys exposed to VUR (158 of 236, 67%) were normal and of the 78 abnormal kidneys (57 without UTI), 53 showed generalized damage (only eight exposed to UTI) and 71 (91%) were associated with severe (grades IV and V) reflux that predominantly affected males (P<0.001). Grade V reflux was almost exclusively a male disorder. Most female units (45 of 58, 78%) compared with 46% (82/178) of male units had mild (grades I to III) reflux that was independently associated with normal kidneys. The mean bladder wall thickness was significantly greater for males with VUR than for females with VUR and for males without VUR. Conclusions Two distinct but not exclusive patterns of VUR were identified: (i) mild reflux associated with normal kidneys that affected most females and a proportion of males; (ii) severe reflux combined with kidney damage, most likely fetal in origin, that is almost exclusively a male disorder.

show abstract

“…21 No período de 2 a 22 anos, 49% a 83% de ureteres apresentam desaparecimento do RVU. 11,14,15,[22][23][24][25] No período de 2 a 38 anos, desaparecimento do refluxo ocorreu em 15% a 80% de crianças ou adolescentes. 9,14,16,22,[24][25][26][27][28] Em nossa casuística a porcentagem de pacientes e do número de ureteres que apresentaram resolução do RVU foi semelhante ao descrito na literatura.…”

Section: Discussionunclassified

“…11,14,15,[22][23][24][25] No período de 2 a 38 anos, desaparecimento do refluxo ocorreu em 15% a 80% de crianças ou adolescentes. 9,14,16,22,[24][25][26][27][28] Em nossa casuística a porcentagem de pacientes e do número de ureteres que apresentaram resolução do RVU foi semelhante ao descrito na literatura. 15,16,[25][26][27][28] Em crianças menores de cinco anos no início do…”

Section: Discussionunclassified

“…O período para a cura espontânea do refluxo é maior no RVU de graus maiores. 13,16,17,22,24,25 Após cinco anos de seguimento, observou-se 80% de cura no RVU de grau II e 46% no de grau III. 21 Autores comparando pacientes com RVU de grau I, II e III, relataram maior prevalência de resolução apenas do RVU de grau I quando comparado ao RVU de grau III.…”

Section: Rvu Bilateral Rvu Unilateralunclassified

See 1 more Smart Citation

Freqüência de desaparecimento do refluxo vésico-ureteral de graus I a III em pacientes pediátricos

Macedo¹,

Riyuzo²,

Bastos³

2004

Rev. Bras. Saude Mater. Infant.

View full text Add to dashboard Cite

Objectives: to evaluate the frequency of disappearance of primary vesicoureteral reflux (VUR) grade I to III in children and correlate with patient's age at diagnosis, sex, grade and laterality.Methods: a retrospective study of 34 children with VUR detected by voiding cystourethrography (VCU). Five patients were boys (median of age: one year and six months) and 29 were girls (median of age: three years). Control exams by VCU or IC were made in performed 12 to 24 months. Kaplan-Meier survival curves were used for analysis.Results: VUR cessation was observed in 52.9% of patients. Comparing age it was not observed statistic difference. VUR cessation occurred in a median of 24 months in boys and 60 months in girls. There was statistic difference between sex (p = 0.02). VUR cessation occurred in 80% of patients with grade I (median: 25.5 months), 66.6% grade II (median: 48 months), 40% grade III (median: 60 months), in 21% of bilateral (median: 48 months) and 75% of unilateral VUR (median: 28.5 months). There was statistic difference between the grade (p = 0.02) and laterality (p = 0.05) of the VUR.Conclusions: VUR cessation occurred in grade I or II and unilateral, in boys, Key words Vesico ureteral reflux, EvoluçãoResumo Objetivos: avaliar a freqüência do desaparecimento do refluxo vésico-ureteral (RVU) primário de graus I a III em crianças e correlacionar com idade no diagnóstico, sexo, grau e lateralidade.Métodos: estudo retrospectivo de 34 crianças com RVU diagnosticado por uretrocistografia miccional (UCM). Cinco pacientes eram meninos (mediana: um ano e seis meses) e 29 meninas (mediana: três anos) O exame controle pela UCM ou cistografia foi realizado em intervalos de 12 a 24 meses. Na análise das variáveis utilizou-se a curva de sobrevida de KaplanMeier.Resultados: o desaparecimento do RVU ocorreu em 52,9% dos pacientes. Comparando faixas etárias não houve diferença estatística. Nos meninos o desaparecimento do RVU ocorreu na mediana de 24 meses e nas meninas, de 60 meses. Houve diferença estatís-tica entre os sexos (p = 0,02). Houve desaparecimento do RVU em 80% dos pacientes com RVU de grau I (mediana: 25,5 meses), 66,6% de grau II (mediana: 48 meses) 40% de grau III (mediana: 60 meses); em 21% no bilateral (mediana: 48 meses) e 75% no unilateral (mediana: 28,5 meses). Houve diferença estatística entre os graus de RVU (0,02) e lateralidade (p = 0,05).Conclusões: o desaparecimento do RVU ocorreu no sexo masculino, nos graus I ou II e unilateral. Refluxo vésico-ureteral, Evolução Palavras-chave

show abstract

Fetal Vesicoureteral Reflux: Outcome Following Conservative Postnatal Management

Cited by 102 publications

References 11 publications

Impact of Congenital Narrowing of the Bulbar Urethra (Cobb’s Collar) andIts Transurethral Incision in Children

Impact of Congenital Narrowing of the Bulbar Urethra (Cobb’s Collar) andIts Transurethral Incision in Children

The characteristics of primary vesico‐ureteric reflux in male and female infants with pre‐natal hydronephrosis

Freqüência de desaparecimento do refluxo vésico-ureteral de graus I a III em pacientes pediátricos

Contact Info

Product

Resources

About

Fetal Vesicoureteral Reflux: Outcome Following Conservative Postnatal Management

Cited by 102 publications

References 11 publications

Impact of Congenital Narrowing of the Bulbar Urethra (Cobb&rsquo;s Collar) andIts Transurethral Incision in Children

Impact of Congenital Narrowing of the Bulbar Urethra (Cobb&rsquo;s Collar) andIts Transurethral Incision in Children

The characteristics of primary vesico‐ureteric reflux in male and female infants with pre‐natal hydronephrosis

Freqüência de desaparecimento do refluxo vésico-ureteral de graus I a III em pacientes pediátricos

Contact Info

Product

Resources

About

Impact of Congenital Narrowing of the Bulbar Urethra (Cobb’s Collar) andIts Transurethral Incision in Children

Impact of Congenital Narrowing of the Bulbar Urethra (Cobb’s Collar) andIts Transurethral Incision in Children