Ultrasound cystography in the diagnosis of vesicoureteric reflux.
Vesicoureteric reflux is common in children with urinary tract infection and may cause end-stage renal failure. The diagnosis is usually based on micturating cystourethrography (MCU). We describe an alternative technique using ultrasound during bladder infusion with agitated saline. Comparison of the 2 methods shows ultrasound to be 100% sensitive in the detection of grades 3 and 4 reflux. Conclusive evidence of reflux was seen in 2 cases where MCU was subsequently normal, questioning the role of MCU as the gold standard.
Department of Urology, Addenbrooke's Hospital, Cambridge.
D C
DC
Hanbury
R A
RA
Coulden
P
P
Farman
T
T
Sherwood
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007668:Kidney / Q000473:pathology; D011446:Prospective Studies; D014463:Ultrasonography; D001743:Urinary Bladder / Q000473:pathology*; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis* / Q000473:pathology