Virtsan takaisinvirtauksen kuvantamiseen löytyy säteetön vaihtoehto

Lasten virtsan takaisinvirtaus eli vesikouretaalinen refluksi altistaa virtsatietulehduksille, jotka toistuvina ovat riskitekijä munuaisten arpeutumiselle ja munuaisten vajaatoiminnalle.Kuvantamistutkimusten tavoitteena on todeta ja luokitella virtsan takaisinvirtaus ja vaikeusaste ja tunnistaa potilaat, jotka ovat alttiita toistuville infektioille.Varjoainetehosteinen kaikukuvaus eli ceVUS on lapsilla uusi ja lupaava menetelmä virtsarefluksin tutkimiseen säteettömästi ja siten vaihtoehto perinteiselle miktiokystografialle.</p

Trends in the surgical management of vesicoureteral reflux in Finland in 2004-2014

Objectives: Previous data on the trends of surgical treatment of vesicoureteral reflux outside USA are scarce. The aim of this study was to clarify the national trends of operative treatment of vesicoureteral reflux (VUR) in Finland. Methods: We analyzed national data from Finnish Care Register for Health Care on children ( Results: Endoscopic injections of the ureteral orifices were primarily performed for 1212 and open ureteral reimplantation for 272 children. The use of both types of surgery decreased during the study period (p = 0.0043 and p <0.001, respectively). The median age at surgery for VUR was lower in those treated with open ureteral reimplantation than those with endoscopic injections of the ureteral orifices [3 and 4 years, respectively] (p = 0.0001). The length of hospital stay was significantly longer (median 9.9 days) with open ureteral reimplantation compared to that (median 1.3 days) with endoscopic injections (p <0.0001) and did not change during the study period. Reoperations were significantly more common in patients who were primarily treated with endoscopic injections (n = 146/1072, 14%) than with ureteral reimplantation (n = 7/230, 3%) (p <0.0001). Conclusions: While the best treatment options for VUR remain debatable, operative treatment of VUR has become less common in Finland.Peer reviewe

Trends in the surgical management of vesicoureteral reflux in Finland in 2004-2014

Objectives: Previous data on the trends of surgical treatment of vesicoureteral reflux outside USA arescarce. The aim of this study was to clarify the national trends of operative treatment of vesicoureteralreflux (VUR) in Finland.Methods: We analyzed national data from Finnish Care Register for Health Care on children (of age) surgically treated for VUR in 2004–2014.Results: Endoscopic injections of the ureteral orifices were primarily performed for 1212 and openureteral reimplantation for 272 children. The use of both types of surgery decreased during the studyperiod (p=0.0043 and ptreated with open ureteral reimplantation than those with endoscopic injections of the ureteral orifices[3 and 4 years, respectively] (p=0.0001). The length of hospital stay was significantly longer (median9.9 days) with open ureteral reimplantation compared to that (median 1.3 days) with endoscopic injections(pcommon in patients who were primarily treated with endoscopic injections (n=146/1072, 14%) thanwith ureteral reimplantation (n=7/230, 3%) (pConclusions: While the best treatment options for VUR remain debatable, operative treatment of VURhas become less common in Finland.</p