The value of ultrasonography for diagnosing vesicoureteral reflux in symptomatic first urinary tract infection in children of a tertiary care hospital.

Dr Pranab Kumar Dey; Dr Joyashree Banerjee; Dr Subhra Aditya

Volume : VIII, Issue : II, February - 2018

The value of ultrasonography for diagnosing vesicoureteral reflux in symptomatic first urinary tract infection in children of a tertiary care hospital.

Dr Pranab Kumar Dey, Dr Joyashree Banerjee, Dr Subhra Aditya

Abstract :

Introduction: Vesicoureteral reflux(VUR) is a common underlying abnormality for Urinary tract infection (UTI) in children. Detection of this VUR has been achieved by voiding cystoureterography(VCUG). For evaluation of VUR, renal ultrasonography is shown to be feasible but is not widely accepted. On this background our aim was to assess the value of routine ultrasonography in detecting VUR in children with symptomatic first UTI.

Materials and Method: Prospective observational study was conducted on 102 patients with diagnosed first documented symptomatic UTI. All children were evaluated with renal ultrasonogram and VCUG.

Results: Sensitivity and specificity value of ultrasonography in suggesting vesicoureteral reflux were 72.72% and 92.77% respectively. The most accurate results of sensitivity were obtained with high grades reflux (88.89%).

Conclusions: Ultrasonography is reliable in the exclusion or verification of high grade reflux and it has a low sensitivity in low grade vesicoureteral reflux.