Positional installation of contrast (PIC) and Redo-PIC cystography for diagnosis of occult vesicoureteral reflux

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dc.authorid0000-0002-8278-5934en_US
dc.authorid0000-0001-7465-2739en_US
dc.contributor.authorKaradeniz-Cerit, Kivilcim
dc.contributor.authorThomas, David Terence
dc.contributor.authorErgun, Raziye
dc.contributor.authorYildiz, Nurdan
dc.contributor.authorAlpay, Harika
dc.contributor.authorInanir, Sabahat
dc.contributor.authorDagli, E. Tolga
dc.contributor.authorTugtepe, Halil
dc.date.accessioned2024-07-12T21:56:38Z
dc.date.available2024-07-12T21:56:38Z
dc.date.issued2018en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractTo evaluate the value of Positional Installation of Contrast (PIC) and Redo-PIC cystography in patients with febrile recurrent urinary tract infection (f-UTI) where voiding cystourethrogram (VCUG) was negative. Patients with recurrent f-UTI with no reflux on VCUG referred to the outpatient clinic of Pediatric Urology, between June 2011 and June 2016 were included in the study. A PIC cystography was performed in all patients. When reflux was found, subureteric injection was performed. Urinary cultures were used for follow-up. Patients that continued having f-UTI, received redo-PIC cystography. PIC cystography was performed on 42 patients. The average age of patients was 8.0 +/- 3.6 years. Vesicoureteral reflux (VUR) was detected in 41 patients. Average follow-up time after PIC cystography was 44.6 months. Thirty-three patients (80.5%) were free of f-UTI after PIC cystography and concurrent subureteric injection. Eight patients continued to have recurrent f-UTI. Six of these patients underwent redo-PIC cystography and PIC-VUR was demonstrated in all patients. After an average follow up of 30.9 months, no f-UTI was seen in these patients. The success rate of 80.5% (33/41) after 1st PIC cystography and subureteric injection increased to 95.1% (39/41) after redo-PIC cystography in six patients. Patients with recurrent f-UTIs without VUR on VCUG are an important challenge. PIC cystography is an important tool in demonstrating occult VUR in these patients. We advise that PIC cystography is performed in all patients with recurrent f-UTI with negative VCUG and redo-PIC cystography in patients who continue to have f-UTI after 1st PIC cystography and subureteric injection.en_US
dc.identifier.doi10.24953/turkjped.2018.02.010
dc.identifier.endpage187en_US
dc.identifier.issn0041-4301
dc.identifier.issue2en_US
dc.identifier.pmid30325125en_US
dc.identifier.scopus2-s2.0-85054891535en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage180en_US
dc.identifier.trdizinid351699en_US
dc.identifier.urihttps://dx.doi.org/10.24953/turkjped.2018.02.010
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8575
dc.identifier.volume60en_US
dc.identifier.wosWOS:000447379800010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTURKISH J PEDIATRICSen_US
dc.relation.ispartofTURKISH JOURNAL OF PEDIATRICSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY03702
dc.subjectPositional instillation of contrast cystographyen_US
dc.subjectvesico-ureteral refluxen_US
dc.subjecturinary tract infectionen_US
dc.subjectcystoscopyen_US
dc.subjectoccult VURen_US
dc.titlePositional installation of contrast (PIC) and Redo-PIC cystography for diagnosis of occult vesicoureteral refluxen_US
dc.typeArticle
dspace.entity.typePublication

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