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- W2034662148 abstract "Purpose Urinary Tract Infection(UTI)is the most common clinical presentation of vesicoureteral reflux(VUR).However,VUR has also been reported in children with voiding disorders with or without history of UTI.The aim of this study was to determine the prevalence of VUR in children presenting with urinary incontinence without a history of UTI among a large group of patients with intermediate and high grade VUR. Material and Methods The medical records of 1432 children diagnosed with intermediate and high grade VUR(Grade III to V)during 1998 to 2008 were reviewed. VUR was diagnosed in all patients by voiding cystourethrogram(VCUG).Renal parenchymal scarring was evaluated by DMSA scans and classified into three groups:mild with relative uptake between 40%and45%,moderate with relative uptake between 20%and40% and severe with relative uptake Results Of the 36patients with urinary incontinence,11children had day and night incontinence,6 had only daytime wetting and 19 had only bedwetting at night.There were 19boys and 17girls and their ages ranged from 4years to 12.1years(median age 6.5years).24children had unilateral VUR and 12 bilateral with a total of 48 refluxing units.VUR was grade II in 2ureters,grade III in 30ureters,grade IV in 15 and grade V in 1.Both patients with grade II VUR had a higher grade VUR on the contralateral side.11(30.5%) patients demonstrated renal scarring on DMSA scans.Scarring was mild in 5 patients,moderate in 5 and severe in 1patient. Conclusions Our large series of intermediate and high grade VUR has identified a small but definite subgroup of patients whose sole presenting symptom is urinary incontinence.We recommend VCUG in all children beyond the age of toilet training who present with urinary incontinence without UTI but sonographic evidence of pelvicalyceal and ureteral dilatation." @default.
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- W2034662148 date "2010-04-01" @default.
- W2034662148 modified "2023-09-26" @default.
- W2034662148 title "High Grade Vescicoureteral Reflux in Children Presenting with Urinary Incontinence Without a History of Urinary Tract Infection" @default.
- W2034662148 doi "https://doi.org/10.1016/j.jpurol.2010.02.037" @default.
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