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Urology (Expert Forum)
VCUG after STING
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
VCUG after STING
by Kiefer-Trendelenburg, Nov 09, 2003 12:00AM
Hello,
my little daughter was diagnosed with a vesicouretheral reflux (VUR)(right : grade 5, left grade 4)at the age of 6 weeks. Repeated (3 )pyelonephritis happened.
Now she is 6 months old and a STING (subtrional injection)was made. In addition she gets antibiotcs in prophylactic dosage since about 3,5 months.
The hospital now wants to wait 3 months between the STING and an so called MUC what seems to be the same like VCUG (voiding cysturethrogram))
My Question is whether it is really necessary to wait 3 months between the STING and an diagnostical tool to look whether the STING was successful. That is what the physicians tell us, but we want that VCUG is done earlier so that we can reduce the antibiotical prophylaxis (trimetoprim and cephalosporin)earlier if the examination shows an improovment.
What would you recommend to wait after a STING to make a VCUG to see how successful the STING was?
Thanks in advance
Thomas Kiefer
my little daughter was diagnosed with a vesicouretheral reflux (VUR)(right : grade 5, left grade 4)at the age of 6 weeks. Repeated (3 )pyelonephritis happened.
Now she is 6 months old and a STING (subtrional injection)was made. In addition she gets antibiotcs in prophylactic dosage since about 3,5 months.
The hospital now wants to wait 3 months between the STING and an so called MUC what seems to be the same like VCUG (voiding cysturethrogram))
My Question is whether it is really necessary to wait 3 months between the STING and an diagnostical tool to look whether the STING was successful. That is what the physicians tell us, but we want that VCUG is done earlier so that we can reduce the antibiotical prophylaxis (trimetoprim and cephalosporin)earlier if the examination shows an improovment.
What would you recommend to wait after a STING to make a VCUG to see how successful the STING was?
Thanks in advance
Thomas Kiefer
Doctor's Answer
by Kevin Pho, MD, Nov 12, 2003 12:00AM
, Nov 12, 2003 12:00AM
Subureteric Teflon injection (the STING procedure) has been successful in Europe and Japan, but is not approved in the United States. As I am not a urologist, I have limited knowledge of this procedure - especially since it is not performed in the United States.
There is limited study in the durations of followup imaging studies. I was not able to find consensus data as to what the best time for followup would be. I would think that you may want to perform the followup imaging study after some time has elapsed to see if the procedure continues to abate the symptoms.
You may want to inquire about a second pediatric urological opinion if you are concerned about the present physicians' course of action.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
There is limited study in the durations of followup imaging studies. I was not able to find consensus data as to what the best time for followup would be. I would think that you may want to perform the followup imaging study after some time has elapsed to see if the procedure continues to abate the symptoms.
You may want to inquire about a second pediatric urological opinion if you are concerned about the present physicians' course of action.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
