11,360 results match your criteria: "Vesicoureteral Reflux"

Background: Congenital anomalies of the kidney and urinary tract (CAKUT) and urinary tract infections (UTIs) are significant clinical concerns in children. Children who have UTIs are also at risk of developing long-term complications, notably kidney disease and scarring UTIs. The purpose of this study was to assess the prevalence of urinary tract infection and its determinants among under-five children with congenital anomalies of kidney and urinary tract in Addis Ababa.

View Article and Find Full Text PDF

ChatGPT-4o's performance on pediatric Vesicoureteral reflux.

J Pediatr Urol

December 2024

Manisa Celal Bayar University, School of Medicine, Department of Paediatric Nephrology, Manisa, TR-45010, Turkey. Electronic address:

Introduction: Vesicoureteral reflux (VUR) is a common congenital or acquired urinary disorder in children. Chat Generative Pre-trained Transformer (ChatGPT) is an artificial intelligence-driven platform offering medical information. This research aims to assess the reliability and readability of ChatGPT-4o's answers regarding pediatric VUR for general, non-medical audience.

View Article and Find Full Text PDF

Adherence to the Swedish paediatric guidelines for urinary tract infections.

Acta Paediatr

December 2024

Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Aim: To audit adherence to the Swedish paediatric guidelines for urinary tract infections (UTIs) in infants. Secondary objectives were to compare findings on imaging performed according to the guidelines with imaging without guideline support and to identify predictors of non-adherence.

Methods: A prospective multicentre study of infants <1 year treated at paediatric hospitals for their first UTI.

View Article and Find Full Text PDF

Introduction: Posterior urethral valves may lead to persistent hydronephrosis (HN) and bladder dysfunction despite successful endoscopic valve ablation (EVA).

Objectives: To evaluate the effect of overnight bladder drainage (OBD) on upper urinary tracts and bladders of boys post EVA.

Materials And Methods: Boys who had persistent HN after EVA were included.

View Article and Find Full Text PDF

Objective: To analyze the transitional outcomes of children who underwent Cohen ureteroneocystostomy(UNC) due to vesicoureteral reflux(VUR).

Methods: Files of patients who underwent UNC between January 2003 and December 2013 and had>10 years of follow-up were retrospectively reviewed.Demographic and clinical data before surgery were noted.

View Article and Find Full Text PDF

Urinary transport disorders are among the most common congenital diseases in childhood. Congenital malformations of the urinary tract can cause bacterial urinary tract infections as early as in infancy and early childhood. Urinary tract infections are among the most common bacterial infections in children, and when pyelonephritis is present, the entire urinary tract should always be examined by sonography.

View Article and Find Full Text PDF

Background: The gut, the ureter, or the Fallopian tube all transport biological fluids by generating trains of propagating smooth muscle constrictions collectively known as peristalsis. These tubes connect body compartments at different pressures. We extend here Poiseuille's experiments on liquid flow in inert tubes to an active, mechanosensitive tube: the intestine.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how early imaging features related to posterior urethral valves (PUV) in children can predict the progression of chronic kidney disease (CKD) and potential renal failure. !* -
  • Researchers analyzed data from 274 children diagnosed with PUVs to identify factors such as vesicoureteral reflux and nadir creatinine that correlate with CKD progression over an average follow-up of nearly 6 years. !* -
  • Results indicated that the presence of vesicoureteral reflux and a low nadir creatinine level in the first year of life significantly predicted CKD progression, highlighting the usefulness of these early measurements in assessing future renal function. !*
View Article and Find Full Text PDF

Background: Paediatric hydronephrosis frequently necessitates surgical intervention. However, postoperative urinary tract infections (UTIs) are common and challenging. This retrospective cohort study aimed to identify UTI risk factors following an operation for paediatric hydronephrosis.

View Article and Find Full Text PDF
Article Synopsis
  • Radiologic imaging is often used in children's hospitals to assist with diagnoses, but variations in how it's performed can lead to unnecessary costs and risks.
  • A study analyzed inpatient pediatric conditions across 50 hospitals from 2017 to 2019, focusing on those with high imaging prevalence and costs, and found that conditions like pectus excavatum and scoliosis had the highest imaging rates.
  • The findings indicated significant variations in imaging-related costs among hospitals, highlighting the need for improved guidelines to reduce overuse and improve care in pediatric imaging.
View Article and Find Full Text PDF

Objective: To explore the therapeutic value of laparoscopic ureteroureterostomy compared to single ureteral bladder reimplantation in the treatment of pediatric complete renal duplication.

Methods: This retrospective study included 80 pediatric patients with complete renal duplication who underwent surgical treatment at the First Affiliated Hospital of Zhengzhou University from January 2015 to December 2022. Patients were divided into two groups based on the surgical approach: the laparoscopic ureteroureterostomy group (LUU group, n = 45) and the single ureteral bladder reimplantation group (UR group, n = 35).

View Article and Find Full Text PDF

Congenital anomalies of the kidney and urinary tract (CAKUT) represent a broad range of diseases with differing mechanisms, clinical presentations, and prognoses. With an estimated prevalence of between 4 and 60 per 10,000 births, CAKUT represents a sizable number of patients for pediatric and adult nephrologists as therapies have progressed, allowing longer life spans. Many CAKUT disorders are associated with genetic mutations, and with advances in genomic sequencing, these genes are being identified at an increasing rate.

View Article and Find Full Text PDF
Article Synopsis
  • - The study compares two surgical methods for treating primary vesicoureteral reflux in pediatric patients: the traditional open Lich-Gregoir reimplantation and the newer laparoscopic approach, assessing their complications and success rates.
  • - Data were collected retrospectively from clinical charts of 68 patients who underwent either surgery between 2013 and 2017, with no notable differences found in operation times, hospital stays, or complication rates between the two groups.
  • - The success rates were 85.2% for the open group and 90.2% for the laparoscopic group, indicating no significant difference, and the lower overall success rates may be attributed to the complex cases involving high-grade reflux in both surgical methods.
View Article and Find Full Text PDF

Introduction: Treatment of de novo vesicoureteral reflux (VUR) into the transplanted kidney constitutes a clinical challenge. Herein, we present our data on patients who underwent endoscopic subureteric injection for the treatment of VUR following renal transplantation (RT) in our center.

Methods: The patients who underwent endoscopic subureteric injection for VUR into the transplanted kidney after RT in our department between 2008 and 2023 were reviewed retrospectively.

View Article and Find Full Text PDF
Article Synopsis
  • This study explored the effectiveness of using the ureteral diameter ratio (UDR) for predicting and managing vesicoureteral reflux (VUR) by reviewing data from multiple scientific databases.
  • The analysis included 13 retrospective studies, revealing that lower UDR is associated with spontaneous resolution of VUR, while higher UDR correlates with increased risk of urinary tract infections (UTIs) and the need for surgical intervention.
  • The findings highlight a need for further research to establish specific UDR cut-off values for better clinical decision-making regarding VUR outcomes.
View Article and Find Full Text PDF

Objectives: This study was designed to compare the clinical data of vesicoureteral reflux (VUR) in children with and without an allergic constitution.

Methods: The clinical data of patients hospitalized with VUR due to a urinary tract infection (UTI) between September 1, 2019, and December 31, 2020, were retrospectively analyzed. The patients were divided into two groups: an anallergic constitution group (AC group) and a non-allergic constitution (NAC group), and their UTIs and VUR were compared at baseline and during the follow-up period.

View Article and Find Full Text PDF

Background: Children with vesicoureteral reflux (VUR), particularly high-grade VUR, are known to be at increased risk for urinary tract infection (UTI). Current guidelines highlight certain clinical factors in the management of children with VUR; however, the clinical utility of upper tract dilation in the setting of VUR remains unclear.

Objective: The purpose of this study is to evaluate risk factors for febrile UTI (fUTI) in children with primary VUR in a modern cohort with emphasis on upper tract dilation parameters, including hydronephrosis and hydroureter.

View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on the postoperative management and complications faced by 29 children, aged 9 to 18, who received kidney transplants due to congenital kidney and urinary tract abnormalities.
  • Early postoperative complications occurred in 20.6% of the patients, including issues like delayed graft function and hematomas, while 34.4% experienced late complications such as urinary tract infections and reflux.
  • Results showed that while most complications were manageable, one patient faced chronic kidney rejection due to not adhering to their post-transplant treatment plan, necessitating another transplant.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates whether routine voiding cystourethrogram (VCUG) is necessary to confirm the resolution of vesicoureteral reflux (VUR) after robotic-assisted laparoscopic ureteral reimplantation (RALUR) in children.
  • Data from 42 patients under 18 who underwent RALUR revealed a high success rate, with 87.5% of ureters showing resolved VUR post-surgery.
  • The conclusion recommends that after gaining experience, routine VCUG may not be essential following RALUR, given the strong clinical success rate of 97.6%.
View Article and Find Full Text PDF

Objective: Detecting neurological deterioration and diagnosing tethered cord syndrome (TCS) in patients with myelomeningocele (MMC) can be challenging due to the presence of symptoms at birth and the lack of objective indicators. This retrospective analysis focused on urological manifestations and evaluated whether tethered cord release (TCR) for TCS at an early stage could improve or stabilize video urodynamic study (VUDS) findings and lower urinary tract function.

Methods: This study analyzed 55 of 64 children who underwent MMC repair at Miyagi Children's Hospital, Sendai, Japan, between 2003 and 2016.

View Article and Find Full Text PDF