Özet:

Objective: Renal scars may be observed either as congenital or acquired in patients with vesicoureteral reflux VUR . On the other hand, renal dysplasia occurs due to faulty embryogenesis and may accompany VUR. The aim of this study is to observe the rates of renal scarring and dysplasia in patients with primary VUR and to evaluate its association with urinary tract infections UTI .Material and Methods: Files of the patients that were followed-up in our clinic with the diagnosis of VUR between 2012 and 2018 were retrospectively reviewed. Those with secondary VUR Neuropathic bladder, posterior urethral valves etc. were excluded. Age, gender, diagnosis of UTI, DMSA dimercaptosuccinic acid scan and VCUG voiding cystourethrography results were noted. VUR ≥grade 3 were regarded as dilating. The relationships of renal scarring and renal dysplasia with UTI, VUR degree, laterality and gender were assessed.Results : There were 121 patients in the cohort, 66 girls 55% and 55 boys 45% with a median age of 6 months range 2-42 months . VUR was bilateral in 58 48% while it was dilating in 78 65% . UTI was detected in 76 patients 62.8% . Dysplastic kidney was present in 33 patients 27.3% and renal scars were present in 20 16.5% . UTI rate was statistically lower in dysplastic kidneys p

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