VESICO-URETERIC REFLUX IN CHILDREN

DIAGNOSTIC ROLE OF MICTURATING CYSTO-URETHROGRAPHY.

Abstract

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.