The PIC Cystogram : Its Place in the Treatment Algorithm of Recurrent Febrile UTIs
Joint Authors
Cheng, Earl Y.
Maizels, Max
Hagerty, Jennifer A.
Source
Issue
Vol. 2008, Issue 2008 (31 Dec. 2008), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2008-07-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Hagerty, Jennifer A.& Maizels, Max& Cheng, Earl Y.. 2008. The PIC Cystogram : Its Place in the Treatment Algorithm of Recurrent Febrile UTIs. Advances in Urology،Vol. 2008, no. 2008, pp.1-4.
https://search.emarefa.net/detail/BIM-496905
Modern Language Association (MLA)
Hagerty, Jennifer A.…[et al.]. The PIC Cystogram : Its Place in the Treatment Algorithm of Recurrent Febrile UTIs. Advances in Urology No. 2008 (2008), pp.1-4.
https://search.emarefa.net/detail/BIM-496905
American Medical Association (AMA)
Hagerty, Jennifer A.& Maizels, Max& Cheng, Earl Y.. The PIC Cystogram : Its Place in the Treatment Algorithm of Recurrent Febrile UTIs. Advances in Urology. 2008. Vol. 2008, no. 2008, pp.1-4.
https://search.emarefa.net/detail/BIM-496905
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-496905