[Retrograde cystography after a first episode of acute pyelonephritis in the child and adolescent].
In spite of its invasiveness, voiding cystourethrography remains the gold-standard examination for detecting vesico-ureteric reflux. The aim of this study was to determine if voiding cysto-urethrography is useful at any pediatric age in girls after a first acute pyelonephritis. 152 patients have been retrospectively studied. Both reflux frequency and grade progressively decreased according to age. Sonography was unable to predict reflux. In more than 3-year-old girls, 8/30 children with reflux had voiding dysfunction. We suggest clinical and/or a flow-metric evaluation for voiding dysfunction prior to voiding cystourethrography. After 9 years, reflux was so rare that voiding cystourethrography should be discussed on an individual basis.
Hôpital Charles-Nicolle, Service de Radiopédiatrie, Rouen.
C
C
David
J N
JN
Dacher
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M
Monroc
D
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Eurin
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Le Dosseur
D000208:Acute Disease; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D011704:Pyelonephritis / Q000000981:diagnostic imaging*; D012680:Sensitivity and Specificity; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D014567:Urography; D014718:Vesico-Ureteral Reflux / Q000000981:diagnostic imaging*
Cystographie rétrograde après un premier épisode de pyélonéphrite aiguë chez la fillette et l'adolescente.