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  • Title: [Sterile vesiko-ureteral reflux. Radiological kidney surface measurements as follow-up criteria].
    Author: Riebel T, Köllermann MW, Busch R, Montz R, Scherf H.
    Journal: Monatsschr Kinderheilkd; 1982 Aug; 130(8):616-20. PubMed ID: 7133017.
    Abstract:
    33 patients with 46 sterile vesicoureteral refluxes were followed by repeated clinical-urological and radiological studies over a period from 1 to more than 6 years. The results of the evaluation, obtained by only looking at the urograms, were compared with the following measurements: the length of each kidney, the length ratio right to left, and the parenchymal area. At the end of the follow-up period, 2 out of 32 initially normal kidneys (about 6%) had pathologically low values, whereas 3 out of 14 already initially damaged kidneys (21,5%) showed a further decrease of these values. Preceding urinary tract infections with consecutive pyelonephritis, leading to a progressive shrinkage of the organ over many years, are thought and discussed to be more responsible for these results than the sterile reflux itself.
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