1,627 results match your criteria Reflux Nephropathy Imaging


[Diagnostic management of primary megaureter : Voiding cystourethrography obligatory, scintigraphy useful?]

Authors:
N Younsi

Urologe A 2020 Mar;59(3):261-265

Zentrum für Kinder‑, Jugend- und rekonstruktive Urologie, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.

A primary, congenital megaureter means a dilatation of the ureter with a ureteric diameter ≥7 mm due to a structural or functional obstruction of the ureterovesical junction and represents the second most likely cause of neonatal hydronephrosis. Conservative management is the primary treatment option for many patients due to a high spontaneous remission rate of up to 85%. Concerning diagnostic management, meticulous and repeat postnatal evaluation by ultrasound is mandatory to identify patients who are at risk of renal deterioration. Read More

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http://dx.doi.org/10.1007/s00120-020-01119-7DOI Listing

Validation of "urinary tract dilation" classification system: Correlation between fetal hydronephrosis and postnatal urological abnormalities.

Medicine (Baltimore) 2020 Jan;99(2):e18707

The ultrasonic department, West China Second University Hospital of Sichuan University, Chengdu, China.

Aim to illuminate the correlation between fetal hydronephrosis and postnatal urological abnormalities by a new classification system-"urinary tract dilation (UTD)" grade.Of 659 pregnancies screened by ultrasound, 34 cases were found with isolated fetal hydronephrosis, and enrolled in our study from 2017 to 2019. These 34 infants had been prospectively followed up to 6 months after birth by 3 times of urinary tract ultrasound. Read More

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http://dx.doi.org/10.1097/MD.0000000000018707DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959922PMC
January 2020

Nutcracker Syndrome as an Unusual Cause of Postprandial Pain.

Vasc Endovascular Surg 2020 Apr 30;54(3):283-285. Epub 2019 Dec 30.

Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PA, USA.

Nutcracker syndrome is a rare entity in which compression of the left renal vein (LRV), usually by the overlying superior mesenteric artery (SMA), results in renal venous congestion and reflux in the left ovarian vein (LOV). Patients may present with hematuria, left flank pain, dyspareunia, and vaginal or abdominal wall varicose veins. We report a patient with nutcracker syndrome who presented atypically with left flank pain that was exacerbated in the postprandial state. Read More

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http://dx.doi.org/10.1177/1538574419896721DOI Listing

Using non-contrast-enhanced magnetic resonance venography for the evaluation of May-Thurner syndrome in patients with renal insufficiency: A case report.

Medicine (Baltimore) 2019 Dec;98(52):e18427

Department of Diagnostic Radiology.

Rationale: Contrast-enhanced computed tomographic venography (CTV) or magnetic resonance venography (MRV) are usually used to detect May-Thurner syndrome (MTS). However, both are associated with contrast-induced nephrotoxicity. For patients who cannot receive contrast media, non-contrast-enhanced MRV using three-dimensional (3D) turbo spin-echo (TSE) is considered an alternative. Read More

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http://dx.doi.org/10.1097/MD.0000000000018427DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946463PMC
December 2019

Current Management of Urinary Tract Infection and Vesicoureteral Reflux.

Indian J Pediatr 2019 Dec 11. Epub 2019 Dec 11.

Department of Pediatrics, All India Institiute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

Urinary tract infection (UTI) is defined as the growth of a significant number of microorganisms of a single species in the urine, in the presence of symptoms. Symptoms in young children are non-specific such as fever without focus; young infants may manifest with irritability, failure to thrive, jaundice, vomiting and diarrhea. Older children usually have symptoms of cystitis or pyelonephritis. Read More

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http://dx.doi.org/10.1007/s12098-019-03099-9DOI Listing
December 2019
5 Reads

Bilateral retrograde pyelography leading to anuria.

Natl Med J India 2019 Jan-Feb;32(1):20-21

Department of Urology, Institute of Nephro Urology, Victoria Hospital Campus, Bengaluru 560002, Karnataka, India.

Retrograde pyelography (RGP) is done to evaluate the collecting system when intravenous contrast studies are contraindicated due to renal insufficiency or prior adverse reactions. We report a patient who developed acute renal shutdown following bilateral RGP in the same sitting done for evaluation of positive malignant cytology of urine. A 65-year-old man on treatment for left stroke and hypertension, with a baseline serum creatinine of 1. Read More

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http://dx.doi.org/10.4103/0970-258X.272110DOI Listing

Alport-leiomyomatosis syndrome requiring subtotal esophagectomy for refractory gastroesophageal reflux disease after childhood partial esophagogastrectomy: a case report.

Gen Thorac Cardiovasc Surg 2020 Feb 22;68(2):199-203. Epub 2019 Nov 22.

Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Hidaka, Japan.

Alport-leiomyomatosis syndrome is an extremely rare condition occurring at a young age in which Alport syndrome coexists with diffuse leiomyomatosis of the digestive tract (primarily the esophagus). Most patients with diffuse esophageal leiomyomatosis require esophagectomy of variable extents. A 20-year-old man with Alport-leiomyomatosis syndrome was diagnosed with dysphasia and hematuria in childhood. Read More

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http://dx.doi.org/10.1007/s11748-019-01255-8DOI Listing
February 2020

Renal Arterial Doppler Resistive Index in Differentiating Obstructive and Non-Obstructive Hydronephrosis in Children at Tikur Anbessa Specialized Hospital, Ethiopia, October, 2018.

Ethiop J Health Sci 2019 Sep;29(5):591-596

Department of Radiology, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia.

Background: Most congenital anomalies of the urinary tract present with hydronephrosis. Some are physiological while others pathological. Ultrasound, micturating cyst urethrography, dynamic renal scintigraphy, intravenous urography, dynamic and static magnetic resonance urography are used for examination. Read More

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http://dx.doi.org/10.4314/ejhs.v29i5.9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813268PMC
September 2019

Supernumerary kidneys: a clinical and radiological analysis of nine cases.

BMC Urol 2019 Oct 17;19(1):93. Epub 2019 Oct 17.

Department of Radiology, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.

Background: A supernumerary kidney (SK) is an additional kidney with its own capsule and blood supply that is not fused with the ipsilateral kidney (IK). Because individual case reports indicate a high morbidity rate, the aim of this retrospective study was a detailed analysis of this rare anatomical variant.

Methods: Our systematic imaging-based search for SKs, conducted in the period from 2000 and to 2017, yielded 9 cases in total (5 men, 4 women; mean age: 51. Read More

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http://dx.doi.org/10.1186/s12894-019-0522-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798430PMC
October 2019
1 Read

Is there any relation between connective tissue growth factor and scar tissue in vesicoureteral reflux?

Turk J Pediatr 2019 ;61(1):71-78

Division of Biochemistry, Bakırköy Dr Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

Gültekin ND, Benzer M, Tekin-Neijmann Ş. Is there any relation between connective tissue growth factor and scar tissue in vesicoureteral reflux. Turk J Pediatr 2019; 61: 71-78. Read More

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http://dx.doi.org/10.24953/turkjped.2019.01.011DOI Listing
January 2020
5 Reads

Long term follow-up in a patient with prune-belly syndrome - a care compliant case report.

Medicine (Baltimore) 2019 Aug;98(33):e16745

4th Pediatric Clinic, Department of Nephrology and Dialysis Children, Emergency Hospital for Children Iaşi, Romania.

Rationale: Malformative uropathies represent a major cause of Chronic Kidney Disease (CKD) in children. Genitourinary system is the most frequent and sever affected in Prune-Belly syndrome cases. That is why the findings of early diagnosis and vigilant monitoring for these situations remain a major challenge for the medical team. Read More

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http://dx.doi.org/10.1097/MD.0000000000016745DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831394PMC
August 2019
4 Reads

Wolfram syndrome: A rare case report.

Indian J Pathol Microbiol 2019 Jul-Sep;62(3):477-480

Department of Pathology, LTMMC, Mumbai, India.

We present an autopsy case of a 19 year old male admitted for breathlessness and oliguria. He was diabetic since 7 years of age and was on insulin. Patient was on testosterone and anti hypertensives. Read More

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http://www.ijpmonline.org/text.asp?2019/62/3/477/263481
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http://dx.doi.org/10.4103/IJPM.IJPM_397_18DOI Listing
December 2019
2 Reads

Crossed fused renal ectopia in children: a review of clinical profile, surgical challenges, and outcome.

J Pediatr Urol 2019 Aug 26;15(4):315-321. Epub 2019 Jun 26.

Department of Pediatric Surgery, Christian Medical College, Vellore, India. Electronic address:

Introduction: Crossed fused renal ectopia is a rare congenital malformation, wherein both kidneys are present unilaterally, with the ureter of the crossed kidney opening into the bladder on the contralateral side. It has varied presentation from incidental detection to renal impairment. In this largest series of crossed fused renal ectopia, the authors assessed the clinical profile of these children and also attempted to shed light on the challenges in the surgical management. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.06.019DOI Listing
August 2019
21 Reads
1.413 Impact Factor

Antenatally detected ureterocele: Associated anomalies and postnatal prognosis.

Taiwan J Obstet Gynecol 2019 Jul;58(4):531-535

Department of Obstetrics and Gynecology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.

Objective: We purposed to review prenatal diagnoses of ureterocele, to determine the sonographic findings and additional abnormalities, and to illustrate the pregnancy outcomes of these patients.

Material And Methods: We reviewed the records of 24 patients with the diagnosis of ureterocele in our referral center between January 2010-March 2017. Prenatal sonographic findings, antenatal course, and postnatal follow-up were obtained. Read More

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http://dx.doi.org/10.1016/j.tjog.2019.05.018DOI Listing
July 2019
2 Reads

Gas in the kidney in asymptomatic urinary tract infections in a patient with severe vesicoureteral reflex.

Saudi J Kidney Dis Transpl 2019 May-Jun;30(3):706-709

Saudi Center for Organ Transplantation, Riyadh, Saudi Arabia.

Diabetes mellitus (DM) is a common disease in Oman as in rest of Gulf Cooperation Council where metabolic syndrome is of high prevalence. DM is a foremost risk factor for urinary tract infections (UTIs). It is also linked to more complicated infections such as emphysematous pyelonephritis (EPN), emphysematous pyelitis (EP), renal/perirenal abscess, emphysematous cystitis, xanthogranulomatous pyelonephritis, and renal papillary necrosis. Read More

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http://dx.doi.org/10.4103/1319-2442.261351DOI Listing
January 2020
13 Reads

Systemic Sclerosis with Focus on Scleroderma Renal Crisis.

Iran J Kidney Dis 2019 05;13(3):207-210

Young Researchers and Elite Club, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

Known as systemic sclerosis (SSc), this autoimmune rheumatic disease has vast pathogenesis on many organs, including kidneys. It can lead to the point where the patient's survival relies entirely on dialysis. This report has basically focused on scleroderma renal crisis (SRC), which is the most serious renal manifestation of SSc, characterized by renal failure and sudden onset of hypertension. Read More

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May 2019
12 Reads

The association of postnatal urinary tract dilation risk score with clinical outcomes.

J Pediatr Urol 2019 Aug 9;15(4):341.e1-341.e6. Epub 2019 May 9.

Department of Radiology, Boston Children's Hospital and Harvard Medical School, Boston MA, USA.

Background: There are limited data on the predictive value of the consensus urinary tract dilation (UTD) score with respect to subsequent clinical diagnoses. We sought to define the relationship between postnatal UTD risk score and clinical outcomes during childhood.

Methods: Complete ultrasound image sets from a random selection of infants aged 0-90 days undergoing initial ultrasound at a single institution for prenatal hydronephrosis between 2012 and 2014 were assigned a UTD score by 1 pediatric urologist and 1 pediatric radiologist. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.05.001DOI Listing
August 2019
6 Reads

The learning curve of contrast-enhanced 'microbubble' voiding urosonography-validation study.

J Pediatr Urol 2019 Aug 19;15(4):385.e1-385.e6. Epub 2019 Apr 19.

Stanford Children's Health (Lucile Packard Children's Hospital), Department of Radiology, Stanford University School of Medicine, 725 Welch Road - Room 1890, Stanford, CA 94304-5913, USA. Electronic address:

Introduction: Vesicoureteral reflux (VUR) is a common pediatric urologic condition associated with urinary tract infection and pyelonephritis. It can be diagnosed via fluoroscopic voiding cystourethrogram (VCUG) and, more recently, contrast-enhanced voiding ultrasonography (ceVUS), which does not expose the patient to ionizing radiation. Voiding urosonography contrast agents used for the diagnosis of VUR have been widely available in Europe but were approved by the Food and Drug Administration for use in the United States only in 2016. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.04.015DOI Listing
August 2019
8 Reads

Can transient resting of the bladder with vesicostomy reduce the need for a major surgery in some patients?

J Pediatr Urol 2019 Aug 4;15(4):379.e1-379.e8. Epub 2019 Apr 4.

Urology and Nephrology Research Center, Department of Urology, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Neuropathic bladder, voiding dysfunction, and posterior urethral valves may cause a great challenge in children. Preserving the kidney function is the main aim in all of these patients which can be achieved by cutaneous vesicostomy.

Objective: The objective of this study is to evaluate the long-term outcomes of patients who have undergone cutaneous vesicostomy in an 11-year period at the study center. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.03.026DOI Listing
August 2019
5 Reads

Knowledge of vesicoureteral reflux obtained by screening voiding cystourethrogram in children with multicystic dysplastic kidney does not change patient management or prevent febrile urinary tract infection.

J Pediatr Urol 2019 May 22;15(3):267.e1-267.e5. Epub 2019 Mar 22.

Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.

Introduction: While children with multicystic dysplastic kidneys (MCDK) are predisposed to contralateral kidney (CK) vesicoureteral reflux (VUR), it is unknown if this results in an increased risk of urinary tract infection (UTI). The authors hypothesized that knowledge of VUR via voiding cystourethrogram (VCUG) would enable altered practices to prevent UTI and thus reduce the number of febrile urinary tract infections (fUTIs).

Methods: The authors performed a retrospective chart review of all patients at their institution of multiple providers caring for patients with a diagnosis of MCDK from 1/1/07 to 7/14/17. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.03.013DOI Listing
May 2019
8 Reads

A huge cavity in the right upper abdomen.

Br J Hosp Med (Lond) 2019 Mar;80(3):173

Consultant, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.

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http://dx.doi.org/10.12968/hmed.2019.80.3.173DOI Listing
March 2019
2 Reads
0.366 Impact Factor

[Empyema in Left Ureteral Stump Following Bilateral Nephrectomy and Living Renal Transplant-Case Report].

Hinyokika Kiyo 2019 Jan;65(1):19-22

The Department of Urology, Hyogo Prefectural Nishinomiya Hospital.

A 34-year-old male came to us with congenital spina bifida, vesicoureteral reflux and scoliosis. He had been on hemodialysis for chronic renal failure caused by reflux nephropathy since the age of 23 years. At the age of 24, he received bilateral nephrectomy and underwent living renal transplantation from his mother. Read More

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http://dx.doi.org/10.14989/ActaUrolJap_65_1_19DOI Listing
January 2019
11 Reads

Radiographic abnormalities, bladder interventions, and bladder surgery in the first decade of life in children with spina bifida.

Pediatr Nephrol 2019 07 3;34(7):1277-1282. Epub 2019 Mar 3.

Division of Pediatric Urology, Indiana University School of Medicine, 535 Barnhill Drive, Suite 150, Indianapolis, IN, 46202, USA.

Background: Spina bifida (SB) patients are at increased risk for hydronephrosis, bladder storage and emptying problems, and renal failure that may require multiple bladder surgeries.

Methods: We retrospectively reviewed patients born with SB 2005-2009, presenting to our institution within 1 year of birth. Outcomes at 8-11 years old included final renal/bladder ultrasound (RBUS) results, clean intermittent catheterization (CIC) use, anticholinergic use, surgical interventions, and final renal function. Read More

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http://dx.doi.org/10.1007/s00467-019-04222-wDOI Listing
July 2019
4 Reads

Embedded peritoneal dialysis catheter.

Kidney Int 2019 03;95(3):718

Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, Florida, USA. Electronic address:

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http://dx.doi.org/10.1016/j.kint.2018.08.007DOI Listing
March 2019
16 Reads

Baseline Urinary Tract Imaging in Infants Enrolled in the UMPIRE Protocol for Children with Spina Bifida.

J Urol 2019 06;201(6):1193-1198

Division of General Pediatrics, Children's Hospital Los Angeles , Los Angeles , California.

Purpose: The lifetime risk of renal damage in children with spina bifida is high but only limited baseline imaging data are available for this population. We evaluated a large prospective cohort of infants with spina bifida to define their baseline imaging characteristics.

Materials And Methods: The UMPIRE Protocol for Young Children with Spina Bifida is an iterative quality improvement protocol that follows a cohort of newborns at 9 United States centers. Read More

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http://dx.doi.org/10.1097/JU.0000000000000141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625656PMC
June 2019
21 Reads

Renal tubular markers as screening tools for severe vesicoureteral reflux.

Eur J Pediatr 2019 Apr 31;178(4):525-531. Epub 2019 Jan 31.

Pediatric Nephrology Division, University of Florida, Gainesville, FL, USA.

Severe (grades IV and V) vesicoureteral reflux (VUR) is a risk factor for acute pyelonephritis, renal scars, and renal failure. This study evaluates albumin and N-acetylglucosaminidase (NAG) urinary excretion, and renal concentrating ability as screening tools to select patients for voiding cystourethrogram (VCUG). Children (111 M, 52 F) aged 10. Read More

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http://dx.doi.org/10.1007/s00431-019-03324-9DOI Listing
April 2019
7 Reads

Intrarenal reflux, an overlooked entity - retrospective analysis of 1,166 voiding cysturethrographies in children.

Pediatr Radiol 2019 05 25;49(5):617-625. Epub 2019 Jan 25.

Department of Pediatric Radiology, Klinikum der Universität München, Lindwurmstr. 4, 80337, Munich, Germany.

Background: The significance of intrarenal reflux as a risk factor for renal scarring and hypertension has been discussed. Fluoroscopic detection of intrarenal reflux depends on the equipment, the training of the radiologists and the timing of spot film acquisition.

Objective: To evaluate the prevalence of intrarenal reflux and its association with age, gender, grade of vesico-uretero-renal reflux and the renal segments affected. Read More

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http://dx.doi.org/10.1007/s00247-018-04330-zDOI Listing
May 2019
8 Reads

Value of renal pelvic diameter and urinary tract dilation classification in the prediction of urinary tract anomaly.

Pediatr Int 2019 Mar 18;61(3):271-277. Epub 2019 Mar 18.

Department of Pediatric Nephrology, Dr Sami Ulus Maternity and Child Health and Diseases Training and Research Hospital, Ankara, Turkey.

Background: The aim of this study was to identify the cut-offs of postnatal anteroposterior renal pelvic diameter (APRPD), according to the urinary tract dilation (UTD) classification system, to identify the predictors of final diagnosis of UTD and the need for surgery.

Methods: A total of 260 infants (336 renal units) with prenatally detected UTD were prospectively evaluated on serial ultrasonography by the same radiologist. Additional voiding cystourethrography and scintigraphy was done according to the clinical algorithm. Read More

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http://dx.doi.org/10.1111/ped.13788DOI Listing
March 2019
9 Reads

[High ureteral insertion as the cause of extreme hydronephrosis in a 5-year-old child with horseshoe kidney].

Dev Period Med 2018;22(4):371-375

Katedra i Klinika Pediatrii i Nefrologii, Warszawski Uniwersytet Medyczny, Polska.

The incidence of horseshoe kidney is 1 per 400-800 live births. From 44-52% of the patients with horseshoe kidney have other coexisting abnormalities of the urinary tract, such as hydronephrosis, vesicoureteral reflux and a duplex collecting system. Our patient, a 5-year old boy, was admitted to a pediatric nephrology department because of abdominal pain and vomiting. Read More

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October 2019
32 Reads

Predictors of grade 3-5 vesicoureteral reflux in infants ≤ 2 months of age with pyelonephritis.

Pediatr Nephrol 2019 05 26;34(5):907-915. Epub 2018 Dec 26.

Department of Pediatrics, Assaf Harofeh Medical Center, 70300, Zerifin, Israel.

Background: This study aimed to assess predictors for grade 3-5 vesicoureteral reflux (VUR) in infants ≤ 2 months of age admitted for first urinary tract infection (UTI).

Methods: Retrospective cohort study of 195 infants ≤ 2 months admitted to a pediatric ward for first UTI between 2006 and 2017. Clinical, laboratory, and imaging data were collected from electronic medical charts. Read More

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http://dx.doi.org/10.1007/s00467-018-4167-0DOI Listing
May 2019
8 Reads

Sugammadex Reversal of a Large Subcutaneous Depot of Rocuronium in a Dialysis Patient: A Case Report.

A A Pract 2019 May;12(10):375-377

From the Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota.

Sugammadex is a modified gamma cyclodextrin that encapsulates rocuronium. We report the successful use of sugammadex in the management of an elderly man with end-stage renal failure who sustained an infiltration of subcutaneous rocuronium during rapid sequence induction of general anesthesia. Given the erratic absorption of subcutaneous rocuronium from the tissue, sugammadex was chosen to reverse the neuromuscular block at the end of the procedure. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000934DOI Listing
May 2019
3 Reads

Contrast-enhanced voiding urosonography with intravesical administration of ultrasound contrast agent for the diagnosis of pediatric vesicoureteral reflux.

Exp Ther Med 2018 Dec 25;16(6):4546-4552. Epub 2018 Sep 25.

Department of Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China.

Vesicoureteral reflux (VUR) is one of the most common urinary tract anomalies in children. It has been reported that VUR may be associated with reflux nephropathy. Ultrasound contrast-enhanced voiding urosonography (CeVUS) has become a routine diagnostic method for VUR in a number of European countries; however, it is not widely used in China. Read More

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http://dx.doi.org/10.3892/etm.2018.6793DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257520PMC
December 2018
6 Reads
0.941 Impact Factor

Urology Mythbusters: should hydronephrosis grade be used to decide which newborns should undergo voiding cystourethrogram?

J Pediatr Urol 2019 Feb 14;15(1):93-96. Epub 2018 Oct 14.

Boston Children's Hospital and Harvard Medical School, Boston MA United States. Electronic address:

In this episode of Mythbusters the premise that among infants with prenatally identified urinary tract dilation (UTD), voiding cystourethrogram (VCUG) should be performed in those with higher grade UTD but not in those with lower grade UTD is critically examined. It is concluded that severity of dilation is not strongly associated with risk of vesicoureteral reflux or other anomalies diagnosed by VCUG. Therefore, using hydronephrosis grade to decide which infants with UTD should undergo VCUG is not evidence based. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14775131183044
Publisher Site
http://dx.doi.org/10.1016/j.jpurol.2018.10.005DOI Listing
February 2019
14 Reads

An 80-Year-Old Man With Hemoptysis and Unilateral Patchy Opacities.

Chest 2018 11;154(5):e135-e138

4th Department of Internal Medicine, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.

Case Presentation: An 80-year-old man presented with a 5-day history of hemoptysis, mild shortness of breath on exertion, fatigue, and malaise. He denied chest pain or fever. He had a history of hypertension, congestive heart failure, and left nephrectomy for renal cancer 10 years earlier; he was a former cigarette smoker with a 50 pack-year history, having quit 5 years prior to presentation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00123692183078
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http://dx.doi.org/10.1016/j.chest.2018.05.009DOI Listing
November 2018
39 Reads

ACR Appropriateness Criteria Acute Pyelonephritis.

J Am Coll Radiol 2018 Nov;15(11S):S232-S239

Specialty Chair, University of Alabama at Birmingham, Birmingham, Alabama.

Pyelonephritis refers to infection involving the renal parenchyma and renal pelvis. In most patients, uncomplicated pyelonephritis is diagnosed clinically and responds quickly to appropriate antibiotic treatment. If treatment is delayed, the patient is immunocompromised, or for other reasons, microabscesses that form during the acute phase of pyelonephritis may coalesce, forming a renal abscess. Read More

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http://dx.doi.org/10.1016/j.jacr.2018.09.011DOI Listing
November 2018
46 Reads
2.283 Impact Factor

Fever duration during treated urinary tract infections and development of permanent renal lesions.

Arch Dis Child 2019 05 2;104(5):466-470. Epub 2018 Nov 2.

Department of Nephrology, "P&A Kyriakou" Children's Hospital, Athens, Greece.

Objective: To assess the effect of the duration of fever after the initiation of treatment (FAT) of febrile urinary tract infections (UTI) on the development of permanent renal lesions based on dimercaptosuccinic acid (DMSA) scintigraphy findings. To evaluate the FAT contribution to permanent renal lesion formation in relation to fever before treatment initiation (FBT), the presence of vesicourinary reflux (VUR), age and severity of infection.

Methods: The inpatient records of 148 children (median age: 2. Read More

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http://dx.doi.org/10.1136/archdischild-2017-314576DOI Listing
May 2019
10 Reads

Distal renal tubular acidosis secondary to vesico-ureteric reflux: A case report with review of literature.

Saudi J Kidney Dis Transpl 2018 Sep-Oct;29(5):1240-1244

Bombay Hospital and Research Center, Indore, Madhya Pradesh, India.

Vesicoureteric reflux (VUR) is the most common congenital anomaly of the urinary tract that occurs in 30%-50% of children presenting with recurrent urinary tract infections. Long-standing untreated VUR results in renal scarring and hydronephrotic changes ultimately leading to chronic renal failure and arterial hypertension. However, it may also result in diffuse tubulopathy compromising the concentrating capacity of tubules and urinary acidification defects. Read More

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http://dx.doi.org/10.4103/1319-2442.243943DOI Listing
November 2019
4 Reads

Can Freehand Elastosonography Be an Alternative to Renal Scintigraphy in Pediatric Vesicoureteral Reflux Cases?

Eur J Pediatr Surg 2019 Oct 31;29(5):470-474. Epub 2018 Oct 31.

Department of Pediatric Surgery, Ankara Children's Health and Diseases Hematology and Oncology Training and Research Hospital, Ankara, Turkey.

Introduction:  Detecting renal scar is important in pediatric patients with vesicoureteral reflux (VUR) for deciding on treatment option. The aim of this study is to detect whether freehand elastosonography technique could be an alternative to dimercaptosuccinic acid (DMSA) scan in determining renal scar formation.

Materials And Methods:  Between November 2015 and April 2016, 25 VUR patients, age ranging from 3 to 17 years admitted to our clinic, had urinary ultrasound and elastosonography, and data of approximately 147 renal region were recorded. Read More

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http://dx.doi.org/10.1055/s-0038-1673706DOI Listing
October 2019
9 Reads

Prenatal Urinary Tract Dilatation.

Urol Clin North Am 2018 Nov 7;45(4):641-657. Epub 2018 Sep 7.

Pediatric Urology, Division of Urology, Department of Surgery, Children's Hospital of Richmond, Virginia Commonwealth University School of Medicine, VCU Medical Center, PO Box 980118, Richmond, VA 23298-0118, USA. Electronic address:

Urinary tract dilatation (UTD) is the most common congenital anomaly detected on prenatal ultrasonography (US), affecting 1% to 3% of all pregnancies. This article focuses on the prenatal detection of UTD and the postnatal evaluation and management based on the UTD grading system risk assessment. Prophylactic antibiotics and postnatal imaging are discussed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00940143183005
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http://dx.doi.org/10.1016/j.ucl.2018.06.011DOI Listing
November 2018
7 Reads

Necessity of performing voiding cystourethrography for children with unilateral multicystic dysplastic kidney.

Pediatr Nephrol 2019 02 25;34(2):295-299. Epub 2018 Sep 25.

Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.

Background: The purpose of this study was to resolve the clinical question as to whether all patients with unilateral multicystic dysplastic kidney (MCDK) should receive voiding cystourethrography (VCUG).

Methods: This is a retrospective study using cross-sectional analysis. Seventy-five children with unilateral MCDK were enrolled, excluding patients with other genetic or chromosome abnormalities, spinal cord diseases, or anal atresia. Read More

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http://dx.doi.org/10.1007/s00467-018-4079-zDOI Listing
February 2019
3 Reads

Ultrasound and color Doppler applications in chronic kidney disease.

J Nephrol 2018 Dec 6;31(6):863-879. Epub 2018 Sep 6.

Sant'Anna School of Advanced Studies, Department of Internal Medicine, University of Pisa, Pisa, Italy.

Chronic kidney disease (CKD) includes all clinical features and complications during the progression of various kidney conditions towards end-stage renal disease (ESRD). These conditions include immune and inflammatory disease such as: primary and hepatitis C virus (HCV)-related glomerulonephritis; infectious disease such as pyelonephritis with or without reflux and tuberculosis; vascular disease such as chronic ischemic nephropathy; hereditary and congenital disease such as polycystic disease and congenital cystic dysplasia; metabolic disease including diabetes and hyperuricemia; and systemic disease (collagen disease, vasculitis, myeloma). During the progression of CKD, ultrasound imaging and color Doppler imaging (US-CDI) can differentiate the etiology of the renal damage in only 50-70% of cases. Read More

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http://link.springer.com/10.1007/s40620-018-0531-1
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http://dx.doi.org/10.1007/s40620-018-0531-1DOI Listing
December 2018
36 Reads

Phenotypic severity scoring system and categorisation for prune belly syndrome: application to a pilot cohort of 50 living patients.

BJU Int 2019 01 19;123(1):130-139. Epub 2018 Sep 19.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Objective: To design a novel system of scoring prune belly syndrome (PBS) phenotypic severity at any presenting age and apply it to a large pilot cohort.

Patients And Methods: From 2000 to 2017, patients with PBS were recruited to our prospective PBS study and medical records were cross-sectionally analysed, generating individualised RUBACE scores. We designed the pragmatic RUBACE-scoring system based on six sub-scores (R: renal, U: ureter, B: bladder/outlet, A: abdominal wall, C: cryptorchidism, E: extra-genitourinary, generating the acronym RUBACE), yielding a potential summed score of 0-31. Read More

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http://dx.doi.org/10.1111/bju.14524DOI Listing
January 2019
19 Reads

Reduced differential renal function in scintigraphy predicted high-grade vesicoureteral reflux in children with antenatal hydronephrosiss.

Acta Paediatr 2019 04 14;108(4):751-756. Epub 2018 Sep 14.

Department of Pediatric Surgery, Helsinki University Hospital, Helsinki, Finland.

Aim: A top-down approach is widely used for detecting vesicoureteral reflux (VUR) in children with febrile urinary tract infections. We evaluated the diagnostic value of renal scintigraphy in predicting VUR in children with antenatal hydronephrosis (AHN).

Methods: The voiding cystourethrogram (VCUG) and renal scintigraphy results of 125 AHN patients (76% male) admitted to the Children's Hospital of Helsinki University, Finland, from 2003 to 2013 were analysed. Read More

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http://doi.wiley.com/10.1111/apa.14536
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http://dx.doi.org/10.1111/apa.14536DOI Listing
April 2019
4 Reads

Mercury Intoxication as a Rare Cause of Membranous Nephropathy in a Child.

Am J Kidney Dis 2018 10 21;72(4):601-605. Epub 2018 Jul 21.

Division of Pediatric Nephrology, Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

In adults, membranous nephropathy is the second most common cause of nephrotic syndrome. In contrast, minimal change disease and focal segmental glomerulosclerosis constitute the most common forms of nephrotic syndrome in children, while membranous nephropathy accounts for <5% of cases. In adults, causes of membranous nephropathy include autoantibodies directed against phospholipase A receptor and thrombospondin type 1 containing 7A, various infections, environmental toxicities, autoimmune disorders, malignancies, and other secondary forms. Read More

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http://dx.doi.org/10.1053/j.ajkd.2018.05.013DOI Listing
October 2018
4 Reads

Association of vesicoureteral reflux and renal scarring in urinary tract infections.

Arch Argent Pediatr 2018 Aug;116(4):e542-e547

Selcuk University, Faculty of Medicine, Department of Public health, Konya, Turkey.

Introduction: The aim was to investigate the relationship between vesicoureteral reflux (VUR) and renal damage in non-febrile, febrile for the first time and recurrent urinary tract infection (UTI) patients. The secondary aim was to determine whether C-reactive protein (CRP) in febrile UTIs could be a predictor of renal scarring.

Population And Methods: This prospective study included non-febrile, febrile for the first time and recurrent pediatric UTI cases. Read More

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http://www.sap.org.ar/docs/publicaciones/archivosarg/2018/v1
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http://dx.doi.org/10.5546/aap.2018.eng.e542DOI Listing
August 2018
13 Reads

Changing outpatient referral patterns in a small pediatric nephrology practice.

BMC Pediatr 2018 06 19;18(1):195. Epub 2018 Jun 19.

Department of Pediatrics, Division of Nephrology, University of Washington, Seattle, WA, USA.

Background: We have noted a large number of referrals for abnormal kidney imaging and laboratory tests and postulated that such referrals have increased significantly over time. Understanding changes in referral patterns is helpful in tailoring education and communication between specialists and primary providers.

Methods: We performed a retrospective chart review of new patient referrals to Mary Bridge Children's Nephrology clinic for early (2002 to 2004) and late (2011 to 2013) cohorts. Read More

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http://dx.doi.org/10.1186/s12887-018-1164-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6010179PMC
June 2018
12 Reads

Influence of Plasminogen Activator Inhibitor -1 Gene Polymorphism on Renal Scarring After First Febrile Urinary Tract Infection in Infants.

Med Arch 2018 Apr;72(2):84-87

Clinic for Nuclear Medicine, University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina.

Background: The pathogenesis of renal scarring (RS) after first febrile urinary tract infection (UTI) in children is multifactorial. In addition to well-known risk factors, a role for genetic predisposition has been suggested.

Aims: To determine whether deoxyribonucleic acid (DNA) polymorphisms at the plasminogen activator inhibitor -1 (PAI-1) gene were associated with evolution to RS following a febrile UTI in infants. Read More

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http://dx.doi.org/10.5455/medarh.2018.72.84-87DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911167PMC
April 2018
23 Reads

Randomized clinical trial between polyacrylate-polyalcohol copolymer (PPC) and dextranomer-hyaluronic acid copolymer (Dx/HA) as bulking agents for endoscopic treatment of primary vesicoureteral reflux (VUR).

World J Urol 2018 Oct 3;36(10):1651-1656. Epub 2018 May 3.

Pediatric Urology Division, Pediatric Surgery Department, Hospital Sant Joan de Déu, University of Barcelona, Passeig Sant Joan de Déu 2, 08950, Barcelona, Spain.

Objective: To compare the radiological and clinical outcomes of endoscopic treatment of primary VUR using polyacrylate-polyalcohol copolymer (PPC-Vantris) or dextranomer-hyaluronic acid copolymer (Dx/HA-Deflux).

Materials And Methods: From October 2014 to April 2017, patients with primary VUR grade III to V that needed endoscopic treatment (ET) were eligible for this randomized clinical trial. We excluded toilet-trained patients with lower urinary tract symptoms. Read More

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http://dx.doi.org/10.1007/s00345-018-2314-7DOI Listing
October 2018
23 Reads

Postnatal imaging of prenatally detected hydronephrosis-when is voiding cystourethrogram necessary?

Pediatr Nephrol 2018 10 7;33(10):1751-1757. Epub 2018 Apr 7.

Department of Pediatric Surgery, Helsinki University Hospital, Helsinki, Finland.

Objective: To evaluate whether grade 4-5 vesicoureteral reflux (VUR) can be predicted from renal ultrasound (RUS) findings and perform voiding cystourethrograms (VCUGs) only on high-risk patients.

Methods: The RUS and VCUG images of infants with prenatally detected hydronephrosis admitted to our institution between 2003 and 2013 were re-evaluated. The UTI episodes were collected retrospectively from patient journals. Read More

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http://dx.doi.org/10.1007/s00467-018-3938-yDOI Listing
October 2018
39 Reads

Bilateral multifocal acute lobar nephronia caused by .

BMJ Case Rep 2018 Apr 5;2018. Epub 2018 Apr 5.

Department of Paediatrics, Fuji City General Hospital, Shizuoka, Japan.

An 8-year-old boy presented to our hospital with complaints of fever, epigastric pain and headache. were isolated from urine and blood culture, bacteraemic urinary tract infection was clinically diagnosed. Although vancomycin and ampicillin were administrated, fever did not subside. Read More

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http://dx.doi.org/10.1136/bcr-2018-224336DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893980PMC
April 2018
9 Reads