Objective
To outline positioning the instillation of contrast cystography (PICC)'s benefits
in clinical practice.
Materials and Methods
A total of 198 patients underwent PICC with the following indications: patients with
positive preoperative conventional voiding cystourethrography (VCUG) for a single
ureteric side, patients with urinary tract infection (UTI), and negative VCUG for
both ureteric sides. Patients with positive VCUG served as the control group. Preoperative,
intraoperative, and postoperative features of all patients were compared.
Results
The reflux rate for the contralateral vesicoureteric reflux (VUR) investigation group
was 39.1%. Only the cystoscopic view of the anatomically deficient ureteric orifice
was found to be a significant predictor of contralateral reflux (P = .002). For patients who presented with UTI, the reflux rate was 58.3%. Resolution
of infection was assessed for patients who presented with UTI, and 54.1% of these
patients had a complete response in the follow-up period. When the patients were classified
as PICC positive and negative, infection-free rates were 58.3% and 48%, respectively
(P = .296).
Conclusion
PICC is an effective diagnostic method for revealing occult reflux. However, the clinical
significance of this finding is vague. In patients with UTI, PICC was useful for diagnosing
occult VUR and clearing the symptoms in more than half of the patients. Further, the
symptom-free state in the follow up period was slightly higher but not more significant
than it was in those with no VUR diagnosed.
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Article info
Publication history
Published online: November 15, 2017
Accepted:
October 28,
2017
Received:
September 9,
2017
Footnotes
Financial Disclosure: The authors declare that they have no relevant financial interests.
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
