Role of Micturating Cysto-urethrogram in Renal Parenchymal Disease
Children developing renal parenchymal disease (RPD) secondary to urinary tract infection have vesico-ureteric reflux. Micturating cystourethrogram (MCUG) is advised in routine to rule out this pathology. This study was conducted to asses the diagnostic and predictive value of MCUG in cases that suffer from recurrent urinary tract infections and are going to develop RPD. 32 children between the age of 3 - 8 years and having the history of repeated episodes of urinary Tract Infection (UTI) underwent micturating cysto-urethrogram (MCUG). 11 had vesicoureteric reflux. 6 had signs of renal parenchymal disease (RPD). 2 developed RPD but demonstrated no reflux. As such the predictive value of this investigation in children suffering from UTI with reflux to develop RPD was almost 50% i.e. children with UTI and reflux had very high risk of developing RPD.