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Saudi Journal of Kidney Diseases and Transplantation
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LETTER TO THE EDITOR Table of Contents   
Year : 1997  |  Volume : 8  |  Issue : 1  |  Page : 43-44
Vesicoureteral Reflux in Children


Consultant Pediatrician, 362 Brady Street Sudbury, Ontario P3B 2P7, Canada

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How to cite this article:
Abdurrahman M B. Vesicoureteral Reflux in Children. Saudi J Kidney Dis Transpl 1997;8:43-4

How to cite this URL:
Abdurrahman M B. Vesicoureteral Reflux in Children. Saudi J Kidney Dis Transpl [serial online] 1997 [cited 2019 Oct 22];8:43-4. Available from: http://www.sjkdt.org/text.asp?1997/8/1/43/39403
To the Editor:

I wish to comment on the article "Vesicoureteral Reflux in Children. Experience in Riyadh, Saudi Arabia" [1] . The true frequency of vesicoureteral reflux (VUR) was unlikely to have been ascertained unless all cases of urinary tract infection during the same period were reviewed. This is because a child admitted with symptomatic urinary tract infection (UTI), who was subsequently found to have VUR, might have a discharge diagnosis of UTI only.

Also, there are a few issues that need clarification:

  1. What were the diagnoses included under "urologic admissions" and was UTI one of them?
  2. Renal scan with Dimercaptosuccinic acid (DMSA) is a vital imaging procedure in any child with VUR. The authors have stated that the test was "not done on enough patients…..". However, it would be interesting to know the exact number.
  3. The indications for ureteral reimplantation should be mentioned. This is relevant because the outcome of medical treatment (prophylactic suppressive anti­microbial) is comparable to the outcome of surgical treatment if compliance is good and there are no breakthrough infections.
  4. It is not mentioned as to how often a repeat voiding cystourethroraphy (VCUG) was done to assess progress or resolution of VUR? Also was isotopic VCUG done instead of radiographic VCUG in order to reduce radiation particularly to the gonads?


I feel that the data provided are not enough to justify the authors' conclusion that "VUR is a common pediatric problem……"; 24 cases in 10 years is certainly not a large number.

 
   References Top

1.Al Mohrij OA, Al Zaben AA, Al Rasheed S. Vesicoureteral reflux in children. Experience in Riyadh, Saudi Arabia. Saudi J Kidney Dis Transplant 1996;7(3):301-4.  Back to cited text no. 1    

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Correspondence Address:
M B Abdurrahman
Consultant Pediatrician, 362 Brady Street Sudbury, Ontario P3B 2P7
Canada
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PMID: 18417784

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