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Routine micturating cystourethrogram for multicystic dysplastic kidneys: have we moved on?
  1. Shiva Shankar,
  2. Eleanor Hay,
  3. Sagarika Ray
  1. The Shrewsbury and Telford Hospital NHS Trust, Princess Royal Hospital, Telford, UK
  1. Correspondence to Dr Shiva Shankar, The Shrewsbury and Telford Hospital NHS Trust, Princess Royal Hospital, Telford TF1 6TF, UK; sshankar{at}nhs.net

https://doi.org/10.1136/archdischild-2018-315197

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    Unilateral multicystic dysplastic kidney (MCDK) has an incidence of approximately 1 in 4300 births.1 They are usually isolated, and the natural course is of complete involution with compensatory contralateral renal hypertrophy.2 Associated genitourinary abnormalities occur, most commonly vesicoureteric reflux (VUR), with a reported incidence of 19.7%.3 Most of the identified VUR is not clinically significant and is likely to resolve spontaneously.4

    Our local neonatal unit guideline recommended undertaking a micturating cystourethrogram (MCUG) if there was renal pelvic dilatation in the contralateral kidney. Our aim was to audit our clinical practice and evaluate the outcomes.

    Study design

    Data were analysed over a 15-year period, from 2000 to …

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    Footnotes

    • Contributors SS designed this study. EH collected the data. EH and SS analysed the data. SS drafted the manuscript. SS and SR reviewed the manuscript. SS, EH and SR approved the final manuscript.

    • Competing interests None declared.

    • Patient consent Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.