Document Detail

The evolving uroradiographic evaluation of the lower urinary tract in neonates with myelomeningocele.
MedLine Citation:
PMID:  3438957     Owner:  NLM     Status:  MEDLINE    
Radiographic cystography (VCUG) has been advocated to detect dynamic and anatomic abnormalities of the lower urinary tract in the neonate with myelomeningocele (MM). We reviewed the VCUG in 120 neonates and the radionuclide cystograms (RNC) or cystometrograms (RNCMG) in 30 neonates to reevaluate the role of cystography in this population. Surgery was not required to treat the anatomic abnormalities detected by VCUG. The absence/presence of reflux and a bladder residual volume of greater than 15 cc were the two most important criteria in determining the neonatal voiding regimen. Because RNC provides this information equally well with a much smaller radiation dose and because of the additional functional information available from RNCMG, we now recommend that RNC or RNCMG be used to evaluate the lower urinary tract of neonates with MM.
S K Fernbach; J J Conway
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urologic radiology     Volume:  9     ISSN:  0171-1091     ISO Abbreviation:  Urol Radiol     Publication Date:  1987  
Date Detail:
Created Date:  1988-03-28     Completed Date:  1988-03-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7909483     Medline TA:  Urol Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  141-5     Citation Subset:  IM    
Department of Radiology, Children's Memorial Hospital, Chicago, IL 60614.
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MeSH Terms
Infant, Newborn
Meningomyelocele / physiopathology,  radiography*,  radionuclide imaging
Urethra / physiopathology,  radiography
Urinary Bladder / physiopathology,  radiography*,  radionuclide imaging
Vesico-Ureteral Reflux / radiography

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