Comparative results of urological evaluation of children with initial and recurrent urinary tract infection.
Complete urologic evaluation was done on male and female children having initial or recurrent urinary tract infection. Of 200 girls having recurrent urinary tract infection 43 per cent showed ureterovesical reflux on the cystogram. Of 39 boys with recurrent urinary tract infection 41 per cent had reflux. Thus, the incidence of reflux is comparable in male versus female patients. Of 47 girls studied after only 1 episode of urinary tract infection 36 per cent had reflux and of 20 boys studied after initial infection 45 per cent had reflux. The data indicate that initial or recurrent urinary tract infection in boys or girls is of equal significance. All other factors being equal, failure to evaluate a patient urologically after 1 or more episodes of urinary tract infection solely because of the sex of the child could mean that a potentially severe urinary tract abnormality can be undetected and untreated.
D002648:Child; D002675:Child, Preschool; D003287:Contrast Media; D003558:Cystoscopy; D005260:Female; D006801:Humans; D008297:Male; D012008:Recurrence; D012737:Sex Factors; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D014552:Urinary Tract Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D014567:Urography; D014718:Vesico-Ureteral Reflux / Q000150:complications* / Q000000981:diagnostic imaging
D003287:Contrast Media