Document Detail

Uroradiological screening for upper and lower urinary tract anomalies in patients with hypospadias: a systematic literature review.
MedLine Citation:
PMID:  22815315     Owner:  NLM     Status:  Publisher    
IntroductionHypospadias is associated with anomalies of the urinary tract, but the exact prevalence and significance of these anomalies are still controversial.ObjectivesTo assess the percentage of patients with hypospadias and associated urological anomalies, either requiring or not requiring medical or surgical attention.Material and methodsWe searched several databases using the following Mesh terms: hypospadias AND urination, ultrasonography, urinary tract/abnormalities, urinary bladder/radiography, ureteral obstruction, hydronephrosis or vesico-ureteral reflux. Type of uroradiological studies performed, type of urological anomalies, medical or surgical interventions, number of patients available, enrolled and undergoing uroradiological studies and number of patients with abnormal uroradiological exams were recorded.ResultsWe found 24 studies. Four studies included 100% of available patients. In the other ones, the percentage of patients undergoing uroradiological screening varied from 12 to 82%. Frequency of anomalies varied from 0 to 56%. The most common anomalies were kidney position anomalies, vesico-ureteral reflux and hydronephrosis.ConclusionsThe data published about screening patients with hypospadias for associated anomalies of their urinary tract are of poor quality. The clinical significance of the anomalies found is difficult to evaluate. We found no relationship between the severity of the hypospadias and associated anomalies of the upper or lower urinary tract.
Vincent Chariatte; Pascal Ramseyer; François Cachat
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-19
Journal Detail:
Title:  Evidence-based medicine     Volume:  -     ISSN:  1473-6810     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9608386     Medline TA:  Evid Based Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Paediatric, University Hospital, Lausanne, Switzerland.
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