Pediatric voiding cystourethrography: An essential examination for urologists but a terrible experience for children

Voiding cystourethrography is the most important fluoroscopic examination in pediatric urology for the investigation of lower urogenital tract diseases, such as vesicoureteral reflux or urethral stricture. However, this invasive procedure imposes a significant burden on children and their parents, a...

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Published in:International journal of urology 2019-02, Vol.26 (2), p.160-171
Main Authors: Johnin, Kazuyoshi, Kobayashi, Kenichi, Tsuru, Teruhiko, Yoshida, Tetsuya, Kageyama, Susumu, Kawauchi, Akihiro
Format: Article
Language:English
Subjects:
child
Children
Pediatrics
Prophylaxis
Stricture
Urinary tract
Urinary tract diseases
Urinary tract infections
Urogenital system
vesicoureteral reflux
voiding cystourethrography
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container_title International journal of urology
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creator Johnin, Kazuyoshi
Kobayashi, Kenichi
Tsuru, Teruhiko
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Kawauchi, Akihiro
description Voiding cystourethrography is the most important fluoroscopic examination in pediatric urology for the investigation of lower urogenital tract diseases, such as vesicoureteral reflux or urethral stricture. However, this invasive procedure imposes a significant burden on children and their parents, and recently there has been a paradigm shift in the diagnosis and treatment of vesicoureteral reflux. In the 2011 revision, the American Academy of Pediatrics guidelines on urinary tract infection recommended abandoning routine voiding cystourethrography after the first febrile urinary tract infection. In 2014, the randomized intervention for children with vesicoureteral reflux study recommended discontinuation of routine continuous antibiotic prophylaxis for vesicoureteral reflux. The time is now ripe to radically reconsider indications for voiding cystourethrography and the procedure itself.
doi_str_mv 10.1111/iju.13881
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subjects child
Children
Pediatrics
Prophylaxis
Stricture
Urinary tract
Urinary tract diseases
Urinary tract infections
Urogenital system
vesicoureteral reflux
voiding cystourethrography
title Pediatric voiding cystourethrography: An essential examination for urologists but a terrible experience for children
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