The role of excretory urography in the evaluation of girls with urinary tract infection.

Excretory urography and cystography were done in 200 girls from less than 1 year to 14 years old with a history of urinary tract infections. In 147 girls (73.5 per cent) the excretory urogram and cystogram were normal. Reflux was demonstrated on voiding cystourethrography in 19.5 per cent of the patients. Only 3 patients were found to have a normal voiding cystourethrogram and a significant abnormal excretory urogram. In only 1 patient (0.5 per cent) was an abnormality (an ectopic obstructed ureter) identified, which was amenable to intervention. We conclude that in the evaluation of girls with urinary tract infection an excretory urogram is indicated only in the presence of vesicoureteral reflux.