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著者: Kazuyoshi Johnin, Kenichi Kobayashi, Teruhiko Tsuru, Tetsuya Yoshida, Susumu Kageyama, Akihiro Kawauchi
雑誌名: Int J Urol. 2019 Feb;26(2):160-171. doi: 10.1111/iju.13881. Epub 2018 Dec 19.
Abstract/Text
Voiding cystourethrography is the most important fluoroscopic examination in pediatric urology for the investigation of lower urogenital tract diseases, such as vesicoureteral reflux or urethral stricture. However, this invasive procedure imposes a significant burden on children and their parents, and recently there has been a paradigm shift in the diagnosis and treatment of vesicoureteral reflux. In the 2011 revision, the American Academy of Pediatrics guidelines on urinary tract infection recommended abandoning routine voiding cystourethrography after the first febrile urinary tract infection. In 2014, the randomized intervention for children with vesicoureteral reflux study recommended discontinuation of routine continuous antibiotic prophylaxis for vesicoureteral reflux. The time is now ripe to radically reconsider indications for voiding cystourethrography and the procedure itself.
© 2018 The Japanese Urological Association.
PMID 30569659 Int J Urol. 2019 Feb;26(2):160-171. doi: 10.1111/iju.13881. Epub 2018 Dec 19.
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