Routine micturating cystourethrogram for multicystic dysplastic kidneys: have we moved on?

Correspondence to Dr Shiva Shankar, The Shrewsbury and Telford Hospital NHS Trust, Princess Royal Hospital, Telford TF1 6TF, UK; sshankar@nhs.net Unilateral multicystic dysplastic kidney (MCDK) has an incidence of approximately 1 in 4300 births.1 They are usually isolated, and the natural course is...

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Bibliographic Details
Published inArchives of disease in childhood Vol. 103; no. 11; pp. 1094 - 1095
Main Authors Shankar, Shiva, Hay, Eleanor, Ray, Sagarika
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.11.2018
Subjects
Clinical significance
Guidelines
Hospitals
Kidneys
Meta Analysis
Observational studies
Radioactivity
Ultrasonic imaging
Urogenital system
Young Children
United Kingdom > UK
dysplastic
kidney
MCUG
multicystic
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Summary:Correspondence to Dr Shiva Shankar, The Shrewsbury and Telford Hospital NHS Trust, Princess Royal Hospital, Telford TF1 6TF, UK; sshankar@nhs.net Unilateral multicystic dysplastic kidney (MCDK) has an incidence of approximately 1 in 4300 births.1 They are usually isolated, and the natural course is of complete involution with compensatory contralateral renal hypertrophy.2 Associated genitourinary abnormalities occur, most commonly vesicoureteric reflux (VUR), with a reported incidence of 19.7%.3 Most of the identified VUR is not clinically significant and is likely to resolve spontaneously.4 Our local neonatal unit guideline recommended undertaking a micturating cystourethrogram (MCUG) if there was renal pelvic dilatation in the contralateral kidney. MCUG is an invasive investigation and exposes infants to radioactivity and the risk of urinary tract infections. Unilateral multicystic dysplastic kidney: a meta-analysis of observational studies on the incidence, associated urinary tract malformations and the contralateral kidney.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2018-315197