[Sterile vesiko-ureteral reflux. Radiological kidney surface measurements as follow-up criteria].
33 patients with 46 sterile vesicoureteral refluxes were followed by repeated clinical-urological and radiological studies over a period from 1 to more than 6 years. The results of the evaluation, obtained by only looking at the urograms, were compared with the following measurements: the length of each kidney, the length ratio right to left, and the parenchymal area. At the end of the follow-up period, 2 out of 32 initially normal kidneys (about 6%) had pathologically low values, whereas 3 out of 14 already initially damaged kidneys (21,5%) showed a further decrease of these values. Preceding urinary tract infections with consecutive pyelonephritis, leading to a progressive shrinkage of the organ over many years, are thought and discussed to be more responsible for these results than the sterile reflux itself.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007668:Kidney / Q000000981:diagnostic imaging*; D008297:Male; D011704:Pyelonephritis / Q000209:etiology; D014552:Urinary Tract Infections / Q000209:etiology; D014567:Urography; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000000981:diagnostic imaging*
Steriler vesiko-ureteraler Reflux. Die Nierenflächenmessung als Parameter der Verlaufskontrolle.