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STING for Vesicoureteral Reflux

  • Selcuk Yucel
  • Linda A. Baker

Abstract

Vesicouretal reflux (VUR) is the retrograde flow of urine from the bladder into the upper urinary system. It affects 1% of boys and girls. The ureterovesical junction is compromised by short submucosal ureteral length, insufficient detrusor backing to the ureter, and/or periureteral diverticuli. Vesicoureteral reflux is present in 29% to 70% of children with urinary infections1,2 and is typically diagnosed by contrast voiding cystourethrogram or nuclear cystogram. The association among VUR, urinary tract infections (UTIs), and renal scarring has been noted for years. The overall goal of managing the child with UTIs is to prevent renal scarring, hypertension, or chronic renal failure. In fact, 3% to 25% of children with end-stage renal disease lost their renal function because of reflux nephropathy.2,3 Renal scarring is detected best by DMSA scanning. However, some of the radiologically detected changes are congenital in nature and not acquired from postnatal UTIs (males > females).4,5

Keywords

Renal Scarring Acid Copolymer Febrile Urinary Tract Infection Xenon Light Source DMSA Scanning 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag London Limited 2007

Authors and Affiliations

  • Selcuk Yucel
    • 1
  • Linda A. Baker
    • 2
  1. 1.Children’s Medical Center at DallasUniversity of Texas Southwestern Medical Center at DallasDallasUSA
  2. 2.Department of UrologyUniversity of Texas Southwestern Medical Center at DallasDallasUSA

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