Akademik Veri Yönetim Sistemi
Turkiye Klinikleri Pediatri, cilt.21, sa.1, ss.17-20, 2012 (Scopus)
Vesicoureteral reflux (VUR) is defined as retrograd flow of the urine from bladder to ureter or renal pelvis. The most common type is primary VUR and it is due to the short ureterovesical tunnel in the bladder wall. It is known that in the first five years of the life the length of the tunnel increases and the VUR may disappear. Primary VUR should be revealed, if only it has clinical importance. In patients with documented urinary tract infections, it is appropriate to investigate for VUR by voiding cystourethrography to prevent recurrence of urinary tract infections in order to avoid renal parenchymal damage if antenatal hydronephrosis do not persist in postnatal period, voiding cystourethrography should not be done. The voiding cystourethrography indications in antenatal and postnatal pelvic dilation are as follows: bilateral hydronephrosis, duplex collecting system or ureterocele, hydroureter, thickened ureteral, or bladder wall, the abnormal renal parenchymal findings, the difficulty of definite diagnosis of the pathology in the urinary system. Due to low risk of high-grade VUR, the siblings should be carefully followed and the parents should be informed for urinary tract infection, instead of routine voiding cystourethrography in light of this information, we have to consider which of the VURs need to be revealed with invasive techniques with radiation risk in childhood. VURs which are grade I and II should not be revealed. Copyright © 2012 by Türkiye Klinikleri.