The PIC Cystogram: Its Place in the Treatment Algorithm of Recurrent Febrile UTIs
Purpose. A common pediatric dilemma involves management of children with recurrent febrile urinary tract infections (UTIs) who have normal voiding cystourethrograms. Vesicoureteral reflux (VUR) has been demonstrated in such cases by performing a cystogram which positions the instillation of contrast...
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| Format: | Article |
| Language: | English |
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Wiley
2008-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2008/763620 |
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| _version_ | 1832550674881052672 |
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| author | Jennifer A. Hagerty Max Maizels Earl Y. Cheng |
| author_facet | Jennifer A. Hagerty Max Maizels Earl Y. Cheng |
| author_sort | Jennifer A. Hagerty |
| collection | DOAJ |
| description | Purpose. A common pediatric dilemma involves management of children with recurrent febrile urinary tract infections (UTIs) who have normal voiding cystourethrograms. Vesicoureteral reflux (VUR) has been demonstrated in such cases by performing a cystogram which positions the instillation of contrast (PIC) at the ureteral orifice. We describe the evidence supporting this diagnostic test. Materials and Methods. The literature was searched to identify and subsequently evaluate all studies investigating PIC cystography. Results. In patients with febrile UTIs and negative VCUGs, the PIC cystogram has been demonstrated to identify occult reflux (PIC-VUR). When identified and treated, these patients have a significant reduction in the incidence of febrile UTIs. Conclusions. Although the current literature on PIC cystography is limited, it appears to be a clinically useful test in a select group of patients with recurrent febrile UTIs, that are not found to have VUR on a conventional VCUG. A prospective randomized trial is underway to further define its role in the treatment algorithm of febrile UTIs. |
| format | Article |
| id | doaj-art-0d284f4b80da4a0d838883debd235768 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2008-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-0d284f4b80da4a0d838883debd2357682025-02-03T06:06:01ZengWileyAdvances in Urology1687-63691687-63772008-01-01200810.1155/2008/763620763620The PIC Cystogram: Its Place in the Treatment Algorithm of Recurrent Febrile UTIsJennifer A. Hagerty0Max Maizels1Earl Y. Cheng2Department of Pediatric Urology, Children's Memorial Hospital, 2300 Children's Plaza, Box 24, Chicago, IL 60614, USADepartment of Pediatric Urology, Children's Memorial Hospital, 2300 Children's Plaza, Box 24, Chicago, IL 60614, USADepartment of Pediatric Urology, Children's Memorial Hospital, 2300 Children's Plaza, Box 24, Chicago, IL 60614, USAPurpose. A common pediatric dilemma involves management of children with recurrent febrile urinary tract infections (UTIs) who have normal voiding cystourethrograms. Vesicoureteral reflux (VUR) has been demonstrated in such cases by performing a cystogram which positions the instillation of contrast (PIC) at the ureteral orifice. We describe the evidence supporting this diagnostic test. Materials and Methods. The literature was searched to identify and subsequently evaluate all studies investigating PIC cystography. Results. In patients with febrile UTIs and negative VCUGs, the PIC cystogram has been demonstrated to identify occult reflux (PIC-VUR). When identified and treated, these patients have a significant reduction in the incidence of febrile UTIs. Conclusions. Although the current literature on PIC cystography is limited, it appears to be a clinically useful test in a select group of patients with recurrent febrile UTIs, that are not found to have VUR on a conventional VCUG. A prospective randomized trial is underway to further define its role in the treatment algorithm of febrile UTIs.http://dx.doi.org/10.1155/2008/763620 |
| spellingShingle | Jennifer A. Hagerty Max Maizels Earl Y. Cheng The PIC Cystogram: Its Place in the Treatment Algorithm of Recurrent Febrile UTIs Advances in Urology |
| title | The PIC Cystogram: Its Place in the Treatment Algorithm of Recurrent Febrile UTIs |
| title_full | The PIC Cystogram: Its Place in the Treatment Algorithm of Recurrent Febrile UTIs |
| title_fullStr | The PIC Cystogram: Its Place in the Treatment Algorithm of Recurrent Febrile UTIs |
| title_full_unstemmed | The PIC Cystogram: Its Place in the Treatment Algorithm of Recurrent Febrile UTIs |
| title_short | The PIC Cystogram: Its Place in the Treatment Algorithm of Recurrent Febrile UTIs |
| title_sort | pic cystogram its place in the treatment algorithm of recurrent febrile utis |
| url | http://dx.doi.org/10.1155/2008/763620 |
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