Ultrasonography for the detection of ureteric reflux in infants with urinary infection

Masahiro Hiraoka, Gotaro Hashimoto, Shuhei Hayashi, Chikahide Hori, Shinya Tsuchida, Hirokazu Tsukahara, Yukuo Konishi, Masakatsu Sudo

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Several less harmful methods than voiding cysto-urethrography for detecting significant ureteric reflux have been proposed. The present prospective study investigated whether ultrasonography was effective in identifying ureteric reflux in infants with their first febrile urinary infection. The subjects were 27 infants (24 boys and 3 girls) aged from 0 to 8 months. The urinary tract was scanned when the bladder was full, and before and during induced voiding. Infants with abnormal ultrasound findings underwent voiding cysto-urethrography. The other infants were followed and those who had a recurrence of urinary infection underwent voiding cystography. Ten children underwent cysto-urethrography, with eight refluxing ureters identified in six boys. Ultrasound revealed transient dilatation of the renal pelvis on voiding in five kidneys, transient dilatation of distal ureters in 12 and hydro-ureteronephrosis in two. Each of the five kidneys with pelvic dilatation on voiding was associated with ureteric reflux grades III or IV. Of the 17 children who did not undergo cysto-urethrography, only one had recurrence of urinary infection and was diagnosed with ureteric reflux. This girl was one of the three babies who were not scanned during voiding. More than half of the infants with febrile urinary infection were excluded from invasive examination without having recurrence of urinary infection. Thus, ultrasound scanning during voiding wits effective for screening infants with their first urinary infection to detect significant ureteric reflux.

Original languageEnglish
Pages (from-to)248-251
Number of pages4
JournalActa Paediatrica Japonica (Overseas Edition)
Volume38
Issue number3
Publication statusPublished - Jun 1996
Externally publishedYes

Fingerprint

Ultrasonography
Infection
Dilatation
Ureter
Recurrence
Fever
Kidney
Wit and Humor
Kidney Pelvis
Urinary Tract
Urinary Bladder
Prospective Studies

Keywords

  • hydronephrosis
  • ultrasonography
  • urinary infection
  • vesico-ureteric reflux
  • voiding

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Hiraoka, M., Hashimoto, G., Hayashi, S., Hori, C., Tsuchida, S., Tsukahara, H., ... Sudo, M. (1996). Ultrasonography for the detection of ureteric reflux in infants with urinary infection. Acta Paediatrica Japonica (Overseas Edition), 38(3), 248-251.

Ultrasonography for the detection of ureteric reflux in infants with urinary infection. / Hiraoka, Masahiro; Hashimoto, Gotaro; Hayashi, Shuhei; Hori, Chikahide; Tsuchida, Shinya; Tsukahara, Hirokazu; Konishi, Yukuo; Sudo, Masakatsu.

In: Acta Paediatrica Japonica (Overseas Edition), Vol. 38, No. 3, 06.1996, p. 248-251.

Research output: Contribution to journalArticle

Hiraoka, M, Hashimoto, G, Hayashi, S, Hori, C, Tsuchida, S, Tsukahara, H, Konishi, Y & Sudo, M 1996, 'Ultrasonography for the detection of ureteric reflux in infants with urinary infection', Acta Paediatrica Japonica (Overseas Edition), vol. 38, no. 3, pp. 248-251.
Hiraoka, Masahiro ; Hashimoto, Gotaro ; Hayashi, Shuhei ; Hori, Chikahide ; Tsuchida, Shinya ; Tsukahara, Hirokazu ; Konishi, Yukuo ; Sudo, Masakatsu. / Ultrasonography for the detection of ureteric reflux in infants with urinary infection. In: Acta Paediatrica Japonica (Overseas Edition). 1996 ; Vol. 38, No. 3. pp. 248-251.
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