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Association between ureteral jet angle by color Doppler ultrasonography and the clinical outcomes of vesicoureteral reflux - PubMed

3 days ago
  • #Ultrasonography
  • #Ureteral Jet Angle
  • #Vesicoureteral Reflux
  • Ureteral jet angle measurement is a noninvasive screening tool for high-grade vesicoureteral reflux (VUR).
  • The study evaluated the association of ureteral jet angle with urinary tract infection (UTI) development and VUR improvement.
  • Interrater reliability for ureteral jet angle measurement was high (ICC(2,1): 0.90).
  • Ureteral jet angle was significantly higher in patients with multiple UTIs (73.8° ± 2.1°) vs. single episode (67.8° ± 1.9°, p = 0.036).
  • Higher ureteral jet angle was observed in breakthrough UTI cases (p = 0.013).
  • Lower ureteral jet angle was associated with VUR downgrading (p < 0.001) and resolution (p < 0.001).
  • Patients requiring surgical intervention had a significantly higher ureteral jet angle (p < 0.001).
  • Findings support the role of ureteral jet angle measurement in VUR management.