Summer 2005; 48(88):171-176

COMBINING OF RADIOCONTRAST CYSTOURETHROGRAPHY WITH RADIONUCLIDE CYSTOGRAPHY FOR DETECTION OF ELUSIVE VESICOURETERAL REFLUX IN CHILDREN

ESMAELI M.,ALAMDARAN A.

Introduction: This descriptive study was performed between 1997 and 2003 in pediatric nephrology clinic of Ghaem hospital (IRAN) Standard voiding cystourethrography and direct radionuclide cystography were done in 23 patients with urinary tract infection and hydronephrosis. Personal data, past history, underlying problems and radiographic results were collected in a questionnaire. The data were analyzed by descriptive statistical methods.

Material and Methods: Twenty three patients with high suspicion to VUR but with normal cystogram (14 standard VCUG, 9DRNC) were subjected to cystography different from the previous one.

Results: VUR was showed in 6 and 3 cases (totally 9 cases) respectively.

Conclusion: Combining standard VCUG with DRNC in selected patients may enhance the predictive value for diagnosis of VUR higher than one of them alone.

Keyword:Vesicoureteral reflux, Radionuclidecystography, Voiding cystourethrography, Urinary tract infections