Renal Scarring Secondary to Vesicoureteric Reflux. Critical Assessment and New Grading
- 1 October 1987
- journal article
- research article
- Published by Wiley in British Journal of Urology
- Vol. 60 (4), 320-324
- https://doi.org/10.1111/j.1464-410x.1987.tb04976.x
Abstract
One hundred and fifty children with proven urinary tract infection who were assessed by renal ultrasound (U/S), intravenous urography (IVU) and dimercaptosuccinic acid (99mTc DMSA) scan, were studied to identify the sensitivity of each examination and the pick-up rate of renal scarring secondary to vesicoureteric reflux. Sixty-three of these children who had the examinations carried out within a 6-month period were assessed in detail. A DMSA scan is the most accurate method of detecting early renal scars in the young age group (0-2 and 2-5 years), followed by ultrasound. The examinations are equally sensitive over the age of 5. A new grading system of the severity of renal scarring is presented.Keywords
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