Abstract
Retrospective analyses that seek to determine the incidence of a particular disease are often problematic, especially when the context of testing ordered cannot be determined. Empirically noticing an association of vesicoureteral reflux (VUR) in children treated for urachal anomalies (UA), we embarked on a retrospective review as a pilot study to determine the merit of this theoretical association. Family history of VUR and urinary tract infection are known to be associated with increased risk of VUR, and currently these risk factors are utilized to screen for reflux. If screening children with UA has the potential to detect nearly a 2/3 incidence of VUR in a child, arguably this is an important factor. Presuming the hypothesis of higher VUR incidence in children with UA, we hope prospective studies will answer the following: 1) Is there a true association of VUR in children with UA, above the baseline 1% population risk? (Selective ordering of VCUG can certainly introduce bias within this study.) 2) Will detection of VUR in the context of a UA have any clinical significance for the child? Vesicoureteral reflux in children with urachal anomaliesJournal of Pediatric UrologyVol. 7Issue 6PreviewWe report the largest known series of vesicoureteral reflux (VUR) in children with urachal anomalies (UA). Full-Text PDF Commentary to ‘Vesicoureteral reflux in children with urachal anomalies’Journal of Pediatric UrologyVol. 7Issue 6PreviewSeveral questions come to mind when reviewing this paper, one being whether a VCUG is helpful or even necessary in the management of an urachal anomaly. But the only important question raised by this paper is not asked: What is the management of incidentally discovered VUR? The answer is not yet known, but I do not believe this paper, or any other, supports the notion that a population of asymptomatic children with a potentially higher incidence of VUR requires radiologic identification and treatment. Full-Text PDF
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