59 children, 19 boys and 40 girls, aged 15 days to 8 yr, with an apparently first symptomatic urinary tract infection were investigated radiologically. The intravenous pyelography showed abnormalities in 47% of the boys and in 35% of the girls; abnormalities were found at all ages. The micturating cysto-urethrography was abnormal in 63% of the boys and in 52% of the girls, predominantly in infants and in younger children of both sexes. Despite the normal intravenous pyelography, 5 boys and 11 girls had an abnormal micturating cysto-urethrography. Of this group 9 had a bilateral grade III reflux and 1 a bilateral grade IV reflux. All these patients were under 3 yr of age. In view of the high incidence of abnormal intravenous pyelographies at all ages and in both sexes, a radiological investigation immediately after the first symptomatic urinary tract infection is strongly recommended. In older children micturating cysto-urethrography can be deferred until a relapse occurs. In boys and girls under 3 yr of age it should be a part of the first radiological exploration since grade III or IV reflux needs specific treatment and may pass unnoticed at intravenous pyelography.
|Number of pages||4|
|Journal||Acta Paediatrica Belgica|
|Publication status||Published - 1978|
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