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Vesicoureteral reflux in adult women with uncomplicated acute pyelonephritis

Authors
 Young Deuk Choi  ;  Won Jae Yang  ;  Sung Hoon Do  ;  Dong Suk Kim  ;  Hye Young Lee  ;  Jang Hwan Kim 
Citation
 UROLOGY, Vol.66(1) : 55-58, 2005 
Journal Title
 UROLOGY 
ISSN
 0090-4295 
Issue Date
2005
MeSH
Acute Disease ; Adult ; Female ; Humans ; Middle Aged ; Pyelonephritis*/complications ; Pyelonephritis*/microbiology ; Vesico-Ureteral Reflux*/complications ; Vesico-Ureteral Reflux*/epidemiology
Keywords
15993478
Abstract
OBJECTIVES: To evaluate the significance of vesicoureteral reflux (VUR) in adult women with uncomplicated acute pyelonephritis. METHODS: Eighty-six adult women with uncomplicated acute pyelonephritis were studied from April 1998 to October 2003. They showed no structural urinary tract abnormalities. The mean age of patients was 36.2 years (range, 19 to 54 years). We divided these patients into two groups. In group I (31 patients), we performed a voiding cystourethrogram (VCUG) on the third day of treatment to demonstrate possible transient low-grade VUR during the acute infectious phase. In group II (the remaining 55 patients), we performed VCUG after the seventh day of treatment. RESULTS: There were only 2 (2.3%) cases of VUR among 86 patients with uncomplicated acute pyelonephritis. No VUR was found in group I, and grade II reflux was found in 2 patients of group II. CONCLUSIONS: These results indicate that, unlike in children, VUR is not a significant factor causing ascending infection leading to the development of acute pyelonephritis in adult women. Further research is warranted regarding the pathophysiology of ascending infection in the adult population.
Full Text
http://www.sciencedirect.com/science/article/pii/S0090429505001068
DOI
10.1016/j.urology.2005.01.034
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Seok(김동석)
Kim, Dong Suk(김동석)
Kim, Jang Hwan(김장환) ORCID logo https://orcid.org/0000-0002-9056-7072
Yang, Won Jae(양원재)
Choi, Young Deuk(최영득) ORCID logo https://orcid.org/0000-0002-8545-5797
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150501
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