Barai S, Bandopadhayaya GP, Bhowmik D, Patel CD, Malhotra A, Agarwal P, Singhal T. Prevalence of vesicoureteral reflux in patients with incidentally diagnosed adult hypertension.
Urology 2004;
63:1045-8; discussion 1048-9. [PMID:
15183945 DOI:
10.1016/j.urology.2003.12.051]
[Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2003] [Accepted: 12/18/2003] [Indexed: 11/22/2022]
Abstract
OBJECTIVES
To evaluate the prevalence of vesicoureteral reflux (VUR) in hypertensive patients without any other evidence of renal involvement. Reflux nephropathy may be clinically latent and present in early adulthood as hypertension when superimposed confounding factors are added.
METHODS
The medical records of 157 adult hypertensive patients with normal renal parameters and low-probability, captopril-enhanced renal dynamic scan findings who underwent direct radionuclide voiding cystoscintigraphy between June 1998 and May 2003 were retrospectively analyzed.
RESULTS
VUR was documented in 30 patients (19.1%). In those 30 patients, VUR was mild in 8 (26.6%), moderate in 6 (20%), and severe in 16 (53.3%) patients. Bilateral VUR was seen in 7 patients, graded as severe in all cases. The prevalence by age was 20% in the 18 to 30-year-old group, 16.6% in the 31 to 45-year-old group, and 20% in the older than 45-year-old group.
CONCLUSIONS
The results of this study have shown that VUR is present in a significantly large proportion of adult patients with hypertension without any apparent renal parenchymal or renovascular involvement.
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