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Kleefstra syndrome combined with vesicoureteral reflux and rectourethral fistula: a case report and literature review

Lee CW, Park MJ, Lee EJ, Lee S, Park J, Lee JN, Lee SM, Jeong SY, Cho MH

Kleefstra syndrome is a rare genetic disease characterized by mental retardation, hypotonia, and a characteristic facial appearance. Furthermore, in some cases, Kleefstra syndrome is associated with various anorectal and genitourinary...
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Delta neutrophil index as a predictor of vesicoureteral reflux in children with febrile urinary tract infection

Kim JE, Oh JS, Yoon JM, Ko KO, Cheon EJ

Purpose: Delta neutrophil index (DNI) indicates immature granulocytes in peripheral blood and has been confirmed to be effective as a prognostic factor for neonatal sepsis. Also, it has been reported...
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Primary Subcapsular Reflux as an Etiology of Subcapsular Renal Abscess

Yoo EJ, Oh JH, Jung HJ, Lee SJ, Park JE, Pai KS

Herein, we report two rare cases of renal infection. The first case was renal subcapsular urine reflux in a 8-month-old girl with recurrent urinary tract infection and the second was...
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Unusual Case of Vesicoureteral Reflux and Chronic Kidney Disease in a 10-Year-old Boy with Asymptomatic Bacteriuria

Choi YD, Lee JH, Lee JW

Primary vesicoureteral reflux is a common genetically determined condition that is associated with varying degrees of renal scarring and represents one of the main causes of chronic kidney disease in...
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Risk Factors of Febrile Urinary Tract Infection after Ureteral Reimplantation in Infant

Lee S, Chung JM, Lee SD

Purpose: Children with febrile urinary tract infection (fUTI) and vesicoureteral reflux (VUR) show significant morbidity. Few studies have examined the incidence of fUTI after ureteral reimplantation for congenital urinary tract...
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Clinical Features of and Antibiotic Resistance in Recurrent Urinary Tract Infection in Children with Vesicoureteral Reflux

Eun SH, Kang JM, Kim JH, Kim SW, Lee YS, Han SW, Ahn JG

Purpose: This study aimed to investigate the clinical features of recurrent urinary tract infection (UTI) in children with vesicoureteral reflux (VUR) and to compare the causative uropathogen and antibiotic susceptibility...
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Diagnostic Accuracy of Renal Ultrasonography for Vesicoureteral Reflux in Infants and Children Aged Under 24 Months with Urinary Tract Infections

Kim J, Lim YJ, Yi J, Hahn S, Lee HJ, Shin M, Jung HK

PURPOSE: To compare the diagnostic accuracies of renal ultrasonography (US) and voiding cystourethrography (VCUG) for vesicoureteral reflux (VUR). MATERIALS AND METHODS: This retrospective study included infants and children (× 24 months...
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A Case of Infantile Fungal Urinary Tract Infection

Cho W, Jo YM, Oh YK, Rim JW, Lee WU, Choi K, Ko JH, Jeon YJ, Choi Y

Urinary tract infection is common in the pediatric population. The most common causative agents are bacteria, among which Escherichia coli is the most frequent uropathogen. Although fungal urinary tract infection...
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Transvesicoscopic Politano-Leadbetter ureteral reimplantation in children with vesicoureteral reflux: A novel surgical technique

Baek M, Han DH

PURPOSE: We introduce our novel procedure for transvesicoscopic ureteral reimplantation using the Politano-Leadbetter technique (TVUR-PL). We describe the detailed surgical procedure and report operative outcomes. MATERIALS AND METHODS: We report a...
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Impact of de novo vesicoureteral reflux on transurethral surgery outcomes in pediatric patients with ureteroceles

Song SH, Lee DH, Kim H, Lee J, Lee S, Ahn D, Park S, Kim KS

PURPOSE: We aimed to determine the impact of de novo vesicoureteral reflux (VUR) on postoperative urinary tract infection (UTI) and renal function in pediatric patients with ureteroceles. MATERIALS AND METHODS: We...
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Transient Pseudohypoaldosteronism in a 5-Month-old Infant Manifested as a Failure to Thrive

Lee JW, Cho SJ, Kim HS

Pseudohypoaldosteronism (PHA) in infants is manifested by presence of hyperkalemia, hyponatremia, and metabolic acidosis. At initial stages, PAH is generally suspected as congenital adrenal hyperplasia. Transient PHA has been reported...
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Calcified Macroplastique Substance: A Rare Cause of Recurrent Gross Hematuria after Endoscopic Injection

Seo MH, Song JY, Chung JM, Lee SD, Kim SY, Kim SH

Endoscopic subureteral injection for treatment of vesicoureteral reflux (VUR) is known to be safe and efficient due to its minimal invasive nature. Being non-migratory, non-antigenic, and biocompatible, Macroplastique (Polydimethylsiloxane) is...
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Bladder Stone after Intraureteral Polydimethylsioxane (Macroplastique) Injection Therapy in Vesicoureteral Reflux Patient

Kim JH

Macroplastique injection is safe and efficacious with a low complication rate. So this material is used commonly in vesicoureteral reflux patient. The risk of bladder mucosal necrosis and substantial decreases...
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New bulking agent for the treatment of vesicoureteral reflux: Polymethylmethacrylate/dextranomer

Kim SW, Lee YS, Im YJ, Han SW

PURPOSE: The aim of this study was to report preliminary results of endoscopic treatment of vesicoureteral reflux in children with a single injection of a new bulking agent, cross-linked dextran...
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Lessons learned over a decade of pediatric robotic ureteral reimplantation

Baek M, Koh CJ

The da Vinci robotic system has improved surgeon dexterity, ergonomics, and visualization to allow for a minimally invasive option for complex reconstructive procedures in children. Over the past decade, robot-assisted...
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Clinical Significance of Uptake Difference on DMSA Scintigraphy in Pediatric Urinary Tract Infection

Kim BK, Choi WJ, Yim HE, Yoo KH

PURPOSE: Disruption of normal renal development can lead to congenital anomalies of the kidney and urinary tract, including renal hypodysplasia. We aimed to clarify whether small kidney size affects clinical...
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Recurrent Urinary Tract Infection by Bladder Stone Resulting from Subureteral Injection Polydimethylsiloxane (Macroplastique®) for Treatment of Vesicoureteral Reflux

Choi JY, Kim HT, Ko YH, Lee YH, Song PH

While endoscopic subureteral injection of bulking agents has become a first-line therapy for the treatment of vesicoureteral reflux (VUR), mainly due to its high success rates with minimal complications, polydimethylsiloxane...
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Usefulness of neutrophil-lymphocyte ratio in young children with febrile urinary tract infection

Han SY, Lee IR, Park SJ, Kim JH, Shin JI

PURPOSE: Acute pyelonephritis (APN) is a serious bacterial infection that can cause renal scarring in children. Early identification of APN is critical to improve treatment outcomes. The neutrophil-lymphocyte ratio (NLR)...
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Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection

Choi DM, Heo TH, Yim HE, Yoo KH

PURPOSE: To evaluate the practical applications of the diagnosis algorithms recommended by the American Academy of Pediatrics urinary tract infection (UTI) guideline. METHODS: We retrospectively reviewed the medical records of febrile...
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Postoperative ureteral obstruction after endoscopic treatment for vesicoureteral reflux

Chung JM, Park CS, Lee SD

PURPOSE: We undertook this study to evaluate the incidence, risk factors, management, and outcome of postoperative ureteral obstruction after endoscopic treatment for vesicoureteral reflux (VUR). MATERIALS AND METHODS: Ninety patients undergoing...
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