Discrepancy between power-Doppler voiding urosonography and voiding cystourethrography is not relevant for the management of primary vesicoureteric reflux

6533b82afe1ef96bd128ba31

RESEARCH PRODUCT

Discrepancy between power-Doppler voiding urosonography and voiding cystourethrography is not relevant for the management of primary vesicoureteric reflux

Vincenzo Tudisco Enrico De Grazia Marco Castagnetti Marcello Cimador

subject

Male medicine.medical_specialty Primary vesicoureteric reflux; Voiding urosonography; Voiding cystourethrography; Children; Pediatric urology urologic and male genital diseases Imaging modalities Power doppler Cystourethrography Voiding urosonography medicine Humans Prospective Studies Child Prospective cohort study Children Vesico-Ureteral Reflux Voiding cystourethrography business.industry Infant Newborn Infant Ultrasonography Doppler Urography General Medicine female genital diseases and pregnancy complications Pediatric urology Surgery Primary vesicoureteric reflux Urodynamics Care Standards Child Preschool Pediatrics Perinatology and Child Health Female Surgery Radiology Primary vesicoureteric reflux Pediatric urology business Pyelogram

description

The aim of this study was to assess if discrepancy between power-Doppler voiding urosonography (PD-VUS) and voiding cystourethrography (VCUG) affects the management of patients with primary vesicoureteric reflux (VUR).Fifty-six children with suspected or known VUR were assessed both by PD-VUS and VCUG. Two independent observers, both pediatric surgeons, each aware of the results of only one imaging modality, advised children's management according to present care standards. Agreement between diagnostic findings at the two imaging modalities and between therapeutic advice of the two observers was evaluated using kappa statistics.PD-VUS diagnosed VUR in 3 patients and 6 ureteral units more than VCUG. VCUG showed VUR in 2 ureteral units, but in no patient more than PD-VUS. Accuracy of PD-VUS compared with VCUG was 92.8% and 94.6% considering ureteral units and patients, respectively. The two observers disagreed about the management of 4 (7%) of 56 cases. Agreement was significant (P.001) both between findings at the two imaging modalities and between management options advised by the two independent observers.Vesicoureteric reflux management based on PD-VUS findings is consistent with a management based on standard VCUG.

year	journal	country	edition	language
2006-01-01	Journal of Pediatric Surgery

https://doi.org/10.1016/j.jpedsurg.2006.03.008