Health Outcomes for Iraqi Patients to Know the Physical Ability Results of Fluoroscopy in the Diagnosis of Vesicoureteral Reflux Disease According to a Cross-Sectional Study in Iraq

Ultrasound Diagnostic Fluoroscopy

Authors

  • Murtadha Qahtan Hashim M.B.Ch.B., F.I.C.M.S.\ (Urology) Iraqi Ministry of Health, Karbala Medical Office, Imam Hussain Medical Teaching City, Department of Urology, Karbala, Iraq
  • Esam Abbas Hammod M.B.Ch.B., F.A.B.M.S.\ (Urology) Iraqi Ministry of Health, Karbala Medical Office, Al-Imam Al-Hassan Al-Mujtaba (A.S) Teaching Hospital, Department of Urology, Karbala, Iraq
  • Fadhil Shamkhi Hadi M.B.Ch.B., F.A.B.M.S.\ (Urology) Iraqi Ministry of Health, Karbala Medical Office, Al-Imam Al-Hassan Al-Mujtaba (A.S) Teaching Hospital, Department of Urology, Karbala, Iraq
February 26, 2025

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The background to this study is that vesicoureteral reflux (VUR) is defined as the retrograde urine flow from the urinary bladder to the upper urinary tract and is often genetic in nature. VUR can be asymptomatic or associated with severe nephropathy, and it is vital to diagnose and treat VUR early in order to protect the kidneys. The aim of this study was to assess the diagnostic performance of ultrasound and fluoroscopy in detecting vesicoureteral reflux disease (VUR). Methodology: A descriptive field and practical study was conducted to assess the difference in the accuracy of diagnostic performance between ultrasound and fluoroscopy in diagnosing VUR among patients in the Medical City Complex. A questionnaire survey was used to collect data from radiology reports for patients diagnosed with VUR. The survey contained data about age, sex, residence, family history of VUR, symptoms, UTI, U/S or VCUG, or both, the sensitivity of the contrast, diagnosis of VUR, and grade.

Results: With respect to age distribution, the data reveal that almost half of the population falls within the one-month to one-year age range (47%), followed by the one-year to five-year age range (47%), and a smaller percentage is less than one month old (6%) (see Figure 1). With regard to gender distribution, the majority are male (57%), while 43% are female. With respect to geographical distribution, a greater proportion of the population resides in urban areas (62%) compared to rural areas (38%).

Conclusion: A thorough examination of the data reveals several noteworthy conclusions. Primarily, the demographic profile of the participants indicates a predominant presence of infants and young children, with a slightly higher proportion in urban areas. The male population outnumbers the female population, and the majority of individuals have no significant family history.

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