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Clinical Pediatrics
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Excretory Urography and Cystourethrography in the Evaluation of Children with Urinary Tract Infection

Rephael Drachman

Department of Pediatrics, Barzilai Medical Center, Ashkelon, Israel

Melly Valevici

Department of Pediatrics, Barzilai Medical Center, Ashkelon, Israel

Peter Adiel Vardy

Department of Pediatrics, Barzilai Medical Center, Ashkelon, Israel

One hundred and ninety-one children with a first episode of urinary tract infection (UTI) underwent intravenous pyelography (IVP) and voiding cystourethrography (VCU). Only three children (1.5%) had positive findings in the IVP that were of prognostic significance and were confined to that particular investigation alone. In contrast, 97 (50.7%) of the VCUs showed an atomical abnormalities. Vesico-ureteral reflux (VUR) of varying grades was diagnosed in 77 children (40.3%). These findings stress the importance of radiological investigation of the urinary tract after the first incidence of UTI, but suggest that IVP will give information of therapeutic and/or prognostic value in a small number of cases.

Clinical Pediatrics, Vol. 23, No. 5, 265-267 (1984)
DOI: 10.1177/000992288402300504
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