VESICOURETERAL REFLUX INCIDANCE IN CHILDREN WITH URINARY STONE DISEASE

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dc.contributor.authorAkay, Ali Ferruh
dc.contributor.authorUzun, Fatih
dc.contributor.authorAkay, Hatice Ozturkmen
dc.contributor.authorAflay, Ugur
dc.contributor.authorSahin, Hayrettin
dc.date.accessioned2024-04-24T17:40:07Z
dc.date.available2024-04-24T17:40:07Z
dc.date.issued2005
dc.departmentDicle Üniversitesien_US
dc.description.abstractIntroduction: In spite of the frequent association of urinary infection with vesicoureteric reflux and urinary calculi, the coexistence of vesicoureteric reflux and calculi is rare. Four factors (urinary calculi, urinary tract infection, structural changes at the uretero vesical junction and reflux) may interact in these cases. In this prospective study we studied the prevalence of vesicoureteral reflux (VUR) in children with urinary stone disease. Materials and Methods: Between September 2000 and March 2004 we evaluated the prevalence of VUR in children with urinary stone disease. In all patients history, physical examination, biochemical and microbiologic analyses were done before the treatment of stone disease. We did voiding cystouretrography in all patients. Patients were divided based on surgical method, including extracorporeal shock wave lithotripsy (ESWL), endoscopy and open surgery. Some patients required combined treatment. After the treatment of stone disease, all patients with VUR received suppressive antibiotic treatment. During follow up period surgical treatment was applied when necessary. Results: Fifty children between 1.5 and 13 years old (median 6.75 years) were included in this study. 41 of patients (82%) were male, 9 (18%) were female. In 37 of patients stone was located only in kidney, 8 were located in urethra, 2 had kidney and bladder stones, 2 had kidney and urethra stones simultaneously. Only 1 patient had bladder stone. In 6 patients (3 male, 3 female) VUR was diagnosed with voiding cystouretrography. Of the patients 2 had bilateral reflux (1 patient with bilateral calculi and the other with left kidney and bladder calculi), 2 had right side reflux (1 had urethra calculi and 1 has contralateral kidney calculi), 2 had left side reflux (1 on ipsilateral kidney calculi and 1 on ipsilateral ureteral calculi). The prevalence of VUR was 12%. Conclusion: In children with urinary stone disease one must always remember that VUR can be seen simultaneously. So if necessary VSUG should always be applied. All patients with urinary stones, particularly staghorn calculi, and urinary tract infection have to be examined for vesicouretral reflux, after the stone or stones have been removed and appropriate antimicrobial therapy has been given.en_US
dc.identifier.endpage84en_US
dc.identifier.issn2149-3235
dc.identifier.issn2149-3057
dc.identifier.issue1en_US
dc.identifier.startpage82en_US
dc.identifier.urihttps://hdl.handle.net/11468/21611
dc.identifier.volume31en_US
dc.identifier.wosWOS:000420309000013
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isotren_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal of Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVesicoureteral Refluxen_US
dc.subjectUrinary Calculi And Voiding Cystouretrographyen_US
dc.titleVESICOURETERAL REFLUX INCIDANCE IN CHILDREN WITH URINARY STONE DISEASEen_US
dc.titleVESICOURETERAL REFLUX INCIDANCE IN CHILDREN WITH URINARY STONE DISEASE
dc.typeArticleen_US

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