Malik Muhammad Khalid.
Vesico-ureteric reflux in children; diagnostic role of micturating cysto-urethrography.
Professional Med J Jan ;14(3):461-5.

Objective: To evaluate the results of micturating cystourethrography (MCUG) in cases of vesicoureteric reflux (VUR) in children. Design: A prospective study. Place and duration of study: The study included total number of 30 patients at CMH Multan and Panu Akil from 2001-2005. Subjects and methods: All the thirty patients less than twelve years of age, suspected of vesico-ureteric reflux, were subjected to MCUG examination to assess the lower urinary tract. Ultrasonography (USG) of urinary tract was also performed on all patients. The severity of reflux was graded before referral for further medical or surgical management. Results: Majority of patients (63.33%) presented with recurrent urinary tract infection (UTI). Renal scarring was detected in 86.66% on USG and all of them had grade IV and V reflux. Grading of reflux on MCUG revealed 33% grade 1 and II reflux and 66.7% as grade III to V reflux. A total of 76.66% patients had primary reflux with female preponderance. Conclusion: MCUG was found to be 100% sensitive in diagnosis of VUR when properly performed. Strong clinical suspicion of VUR in patients of UTI, must be subjected to MCUG for early diagnosis and appropriate management.

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