Vesicoureteral reflux in children with urachal anomalies
Abstract Objective We report the largest known series of vesicoureteral reflux (VUR) in children with urachal anomalies (UA). Methods Two institutions’ records were reviewed for children with UA (1951‒2007). Results Of 30 girls and 36 boys with UA (34 urachal cysts, 14 patent urachus, 10 urachal div...
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| Veröffentlicht in: | Journal of pediatric urology 2011-12, Vol.7 (6), p.632-635 |
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| creator | Fox, Janelle A McGee, Shawn M Routh, Jonathan C Granberg, Candace F Ashley, Richard A Hutcheson, Joel C Vandersteen, David R Reinberg, Yuri E Kramer, Stephen A |
| description | Abstract Objective We report the largest known series of vesicoureteral reflux (VUR) in children with urachal anomalies (UA). Methods Two institutions’ records were reviewed for children with UA (1951‒2007). Results Of 30 girls and 36 boys with UA (34 urachal cysts, 14 patent urachus, 10 urachal diverticula, 7 urachal sinuses, and 1 unknown), 57 (86%) underwent surgical resection or drainage. A voiding cystourethrogram was obtained in 22 (33%). VUR was demonstrated in 14 of the 22 children (64%), and rates were similar among the various types of UA. The median age with versus without VUR was not different (1.3 vs 1.7 years, P = 0.97). Of 24 refluxing renal units, classification was grade ≤ 3 in 71%, 4‒5 in 12%, and unspecified in 17%. Four children (26%) underwent ureteroneocystostomy and 10 observed patients resolved spontaneously. Conclusion To our knowledge, this is the first series of VUR associated with UA. The increased incidence of VUR (64%) in this small subset of patients warrants prospective studies to determine if there is a positive correlation with UA. We believe thorough genitourinary and family histories are important when evaluating children with UA to help detect clinically significant VUR. |
| doi_str_mv | 10.1016/j.jpurol.2011.04.001 |
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Methods Two institutions’ records were reviewed for children with UA (1951‒2007). Results Of 30 girls and 36 boys with UA (34 urachal cysts, 14 patent urachus, 10 urachal diverticula, 7 urachal sinuses, and 1 unknown), 57 (86%) underwent surgical resection or drainage. A voiding cystourethrogram was obtained in 22 (33%). VUR was demonstrated in 14 of the 22 children (64%), and rates were similar among the various types of UA. The median age with versus without VUR was not different (1.3 vs 1.7 years, P = 0.97). Of 24 refluxing renal units, classification was grade ≤ 3 in 71%, 4‒5 in 12%, and unspecified in 17%. Four children (26%) underwent ureteroneocystostomy and 10 observed patients resolved spontaneously. Conclusion To our knowledge, this is the first series of VUR associated with UA. The increased incidence of VUR (64%) in this small subset of patients warrants prospective studies to determine if there is a positive correlation with UA. We believe thorough genitourinary and family histories are important when evaluating children with UA to help detect clinically significant VUR.</description><identifier>ISSN: 1477-5131</identifier><identifier>EISSN: 1873-4898</identifier><identifier>DOI: 10.1016/j.jpurol.2011.04.001</identifier><identifier>PMID: 21565560</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Antibiotic Prophylaxis ; Child ; Children ; Diverticulum ; Female ; Humans ; Infant ; Male ; Pediatrics ; Urachal cyst ; Urachus ; Urachus - abnormalities ; Ureter - surgery ; Urinary Tract Infections - complications ; Urinary Tract Infections - prevention & control ; Urology ; Vesico-Ureteral Reflux - complications ; Vesico-Ureteral Reflux - surgery ; Vesicoureteral reflux</subject><ispartof>Journal of pediatric urology, 2011-12, Vol.7 (6), p.632-635</ispartof><rights>2011</rights><rights>Copyright © 2011. Published by Elsevier Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-667c64e86c592b8a6ca3e81c29d06c747c9fd371e29c08bdeccfd11f0e2e82fe3</citedby><cites>FETCH-LOGICAL-c416t-667c64e86c592b8a6ca3e81c29d06c747c9fd371e29c08bdeccfd11f0e2e82fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpurol.2011.04.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21565560$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fox, Janelle A</creatorcontrib><creatorcontrib>McGee, Shawn M</creatorcontrib><creatorcontrib>Routh, Jonathan C</creatorcontrib><creatorcontrib>Granberg, Candace F</creatorcontrib><creatorcontrib>Ashley, Richard A</creatorcontrib><creatorcontrib>Hutcheson, Joel C</creatorcontrib><creatorcontrib>Vandersteen, David R</creatorcontrib><creatorcontrib>Reinberg, Yuri E</creatorcontrib><creatorcontrib>Kramer, Stephen A</creatorcontrib><title>Vesicoureteral reflux in children with urachal anomalies</title><title>Journal of pediatric urology</title><addtitle>J Pediatr Urol</addtitle><description>Abstract Objective We report the largest known series of vesicoureteral reflux (VUR) in children with urachal anomalies (UA). Methods Two institutions’ records were reviewed for children with UA (1951‒2007). Results Of 30 girls and 36 boys with UA (34 urachal cysts, 14 patent urachus, 10 urachal diverticula, 7 urachal sinuses, and 1 unknown), 57 (86%) underwent surgical resection or drainage. A voiding cystourethrogram was obtained in 22 (33%). VUR was demonstrated in 14 of the 22 children (64%), and rates were similar among the various types of UA. The median age with versus without VUR was not different (1.3 vs 1.7 years, P = 0.97). Of 24 refluxing renal units, classification was grade ≤ 3 in 71%, 4‒5 in 12%, and unspecified in 17%. Four children (26%) underwent ureteroneocystostomy and 10 observed patients resolved spontaneously. Conclusion To our knowledge, this is the first series of VUR associated with UA. The increased incidence of VUR (64%) in this small subset of patients warrants prospective studies to determine if there is a positive correlation with UA. We believe thorough genitourinary and family histories are important when evaluating children with UA to help detect clinically significant VUR.</description><subject>Adolescent</subject><subject>Antibiotic Prophylaxis</subject><subject>Child</subject><subject>Children</subject><subject>Diverticulum</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Urachal cyst</subject><subject>Urachus</subject><subject>Urachus - abnormalities</subject><subject>Ureter - surgery</subject><subject>Urinary Tract Infections - complications</subject><subject>Urinary Tract Infections - prevention & control</subject><subject>Urology</subject><subject>Vesico-Ureteral Reflux - complications</subject><subject>Vesico-Ureteral Reflux - surgery</subject><subject>Vesicoureteral reflux</subject><issn>1477-5131</issn><issn>1873-4898</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU9v1DAQxS0EoqXwDaoqN04JM05iO5dKqOKfVIkDUPVmeScTrVNvsrUToN8er7blwIXTjDTvzej9RohzhAoB1buxGvdrnEMlAbGCpgLAZ-IUja7LxnTmee4brcsWazwRr1IaAWoNsnspTiS2qm0VnApzw8nTvEZeOLpQRB7C-rvwU0FbH_rIU_HLL9tijY62ee6meeeC5_RavBhcSPzmsZ6JHx8_fL_6XF5__fTl6v11SQ2qpVRKk2rYKGo7uTFOkavZIMmuB0W60dQNfa2RZUdgNj0TDT3iACzZyIHrM_H2uHcf5_uV02J3PhGH4Cae12Q7yEm0qbusbI5KinNKOYjdR79z8cEi2AMyO9ojMntAZqGxGVm2XTweWDc77v-anhhlweVRwDnmT8_RJvI8Efc-Mi22n_3_Lvy7gIKfPLlwxw-cxkx_yggt2iQt2G-Htx2-hpjdgLf1HzrYlGE</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Fox, Janelle A</creator><creator>McGee, Shawn M</creator><creator>Routh, Jonathan C</creator><creator>Granberg, Candace F</creator><creator>Ashley, Richard A</creator><creator>Hutcheson, Joel C</creator><creator>Vandersteen, David R</creator><creator>Reinberg, Yuri E</creator><creator>Kramer, Stephen A</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20111201</creationdate><title>Vesicoureteral reflux in children with urachal anomalies</title><author>Fox, Janelle A ; McGee, Shawn M ; Routh, Jonathan C ; Granberg, Candace F ; Ashley, Richard A ; Hutcheson, Joel C ; Vandersteen, David R ; Reinberg, Yuri E ; Kramer, Stephen A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-667c64e86c592b8a6ca3e81c29d06c747c9fd371e29c08bdeccfd11f0e2e82fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Antibiotic Prophylaxis</topic><topic>Child</topic><topic>Children</topic><topic>Diverticulum</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Urachal cyst</topic><topic>Urachus</topic><topic>Urachus - abnormalities</topic><topic>Ureter - surgery</topic><topic>Urinary Tract Infections - complications</topic><topic>Urinary Tract Infections - prevention & control</topic><topic>Urology</topic><topic>Vesico-Ureteral Reflux - complications</topic><topic>Vesico-Ureteral Reflux - surgery</topic><topic>Vesicoureteral reflux</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fox, Janelle A</creatorcontrib><creatorcontrib>McGee, Shawn M</creatorcontrib><creatorcontrib>Routh, Jonathan C</creatorcontrib><creatorcontrib>Granberg, Candace F</creatorcontrib><creatorcontrib>Ashley, Richard A</creatorcontrib><creatorcontrib>Hutcheson, Joel C</creatorcontrib><creatorcontrib>Vandersteen, David R</creatorcontrib><creatorcontrib>Reinberg, Yuri E</creatorcontrib><creatorcontrib>Kramer, Stephen A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fox, Janelle A</au><au>McGee, Shawn M</au><au>Routh, Jonathan C</au><au>Granberg, Candace F</au><au>Ashley, Richard A</au><au>Hutcheson, Joel C</au><au>Vandersteen, David R</au><au>Reinberg, Yuri E</au><au>Kramer, Stephen A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vesicoureteral reflux in children with urachal anomalies</atitle><jtitle>Journal of pediatric urology</jtitle><addtitle>J Pediatr Urol</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>7</volume><issue>6</issue><spage>632</spage><epage>635</epage><pages>632-635</pages><issn>1477-5131</issn><eissn>1873-4898</eissn><abstract>Abstract Objective We report the largest known series of vesicoureteral reflux (VUR) in children with urachal anomalies (UA). Methods Two institutions’ records were reviewed for children with UA (1951‒2007). Results Of 30 girls and 36 boys with UA (34 urachal cysts, 14 patent urachus, 10 urachal diverticula, 7 urachal sinuses, and 1 unknown), 57 (86%) underwent surgical resection or drainage. A voiding cystourethrogram was obtained in 22 (33%). VUR was demonstrated in 14 of the 22 children (64%), and rates were similar among the various types of UA. The median age with versus without VUR was not different (1.3 vs 1.7 years, P = 0.97). Of 24 refluxing renal units, classification was grade ≤ 3 in 71%, 4‒5 in 12%, and unspecified in 17%. Four children (26%) underwent ureteroneocystostomy and 10 observed patients resolved spontaneously. Conclusion To our knowledge, this is the first series of VUR associated with UA. The increased incidence of VUR (64%) in this small subset of patients warrants prospective studies to determine if there is a positive correlation with UA. We believe thorough genitourinary and family histories are important when evaluating children with UA to help detect clinically significant VUR.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>21565560</pmid><doi>10.1016/j.jpurol.2011.04.001</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Antibiotic Prophylaxis Child Children Diverticulum Female Humans Infant Male Pediatrics Urachal cyst Urachus Urachus - abnormalities Ureter - surgery Urinary Tract Infections - complications Urinary Tract Infections - prevention & control Urology Vesico-Ureteral Reflux - complications Vesico-Ureteral Reflux - surgery Vesicoureteral reflux |
| title | Vesicoureteral reflux in children with urachal anomalies |
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