Contralateral Vesicoureteral Reflux in Children With a Multicystic Kidney

No AccessJournal of UrologyPediatric Urology1 Apr 1995Contralateral Vesicoureteral Reflux in Children With a Multicystic Kidney Andrew A. Selzman and Jack S. Elder Andrew A. SelzmanAndrew A. Selzman and Jack S. ElderJack S. Elder View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67579-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Multicystic kidneys are commonly diagnosed today due to the widespread use of prenatal ultrasound. Children with a multicystic kidney are at increased risk of contralateral renal abnormalities. We performed a voiding cystourethrogram on 65 children with a newly diagnosed multicystic kidney to determine the incidence of contralateral vesicoureteral reflux. Ten children (15 percent) with a multicystic kidney had contralateral vesicoureteral reflux, including 8 of 37 boys (22 percent) and 2 of 28 girls (7 percent). Contralateral reflux occurred in significantly more white (22 percent) than nonwhite (4 percent) patients (p less than 0.001). Reflux was grade I in 2 children, II in 2, III in 2, IV in 1 and V in 3. All children were placed on antimicrobial prophylaxis. During a mean followup of 3.1 years grades I and II reflux resolved. Grade III reflux resolved in 1 child and remained stable in 1. Grade IV reflux was downgraded to III in 1 child on prophylaxis. One child with grade V reflux was stable on prophylaxis while the remaining 2 patients underwent ureteroneocystostomy. No child had a urinary tract infection. A significant proportion of white children with a multicystic kidney have contralateral vesicoureteral reflux and initial imaging should include a voiding cystourethrogram. References 1 : In utero ultrasonography: impact on urology. J. Endourol.1992; 6: 279. Google Scholar 2 : Multicystic dysplasia of the kidney: with special reference to the contralateral kidney. J. 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Google Scholar Department of Urology, Rainbow Babies and Children's Hospital, Case Western Reserve University, School of Medicine, Cleveland, Ohio.© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byMILLER D, RUMOHR J, DUNN R, BLOOM D and PARK J (2018) WHAT IS THE FATE OF THE REFLUXING CONTRALATERAL KIDNEY IN CHILDREN WITH MULTICYSTIC DYSPLASTIC KIDNEY?Journal of Urology, VOL. 172, NO. 4 Part 2, (1630-1634), Online publication date: 1-Oct-2004.CASCIO S, PARAN S and PURI P (2018) ASSOCIATED UROLOGICAL ANOMALIES IN CHILDREN WITH UNILATERAL RENAL AGENESISJournal of Urology, VOL. 162, NO. 3 Part 2, (1081-1083), Online publication date: 1-Sep-1999.Minevich E, Wacksman J, Phipps L, Lewis A and Sheldon C (2018) The Importance of Accurate Diagnosis and Early Close Followup in Patients With Suspected Multicystic Dysplastic KidneyJournal of Urology, VOL. 158, NO. 3, (1301-1304), Online publication date: 1-Sep-1997.Corrales J and Elder J (2018) Segmental Multicystic Kidney and Ipsilateral Duplication AnomaliesJournal of Urology, VOL. 155, NO. 4, (1398-1401), Online publication date: 1-Apr-1996. Volume 153Issue 4April 1995Page: 1252-1254 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Andrew A. Selzman More articles by this author Jack S. Elder Request for reprints: 2074 Abington Rd., Cleveland, Ohio 44106. More articles by this author Expand All Advertisement PDF downloadLoading ...