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Any urologists? Please please help

1 reply

nonamewhatashame · 21/01/2025 12:57

My son is 14 months old. At 3 months old he had a UTI requiring hospital admission for antibiotics. At 12 months he had another one. It was missed repeatedly by GPs and even A&E and allowed to then turn into acute pyelonephritis. He was septic. On discharge he was referred for an MCUG AND DMSA. MCUG was due this week. I’ve just had a phone call from radiology saying the scan was booked in error and they don’t scan one year olds due to them not being compliant. I can’t get through to anyone at Paeds as we are not under a team. What on Earth is our next step? How do we ever find out if he has kidney reflux? Is this an NHS thing about not testing one year olds or a hospital specific thing? I know in the USA they sedate for MCUG. Maybe this is a possibility? Any help, so so appreciated.

OP posts:
Are your children’s vaccines up to date?
Unseenentity · 21/01/2025 13:07

Who was responsible for the initial imaging request / who was it going to track back to? Where I have worked if children have imaging requests they tend to be assigned a paediatrician for follow-up even if not seen by a consultant during admission / dealt with in A&E. But if there was pyelonephritis there would have been a paediatrician?

If nobody identifiable at all, best to ask your GP to refer for advice/review and someone hospital based can take responsibility for working out what to do. You can ask your GP to include a request for you to be copied in to the letters back.

Based on the NICE guidelines, MCUG isn't recommended for children age >6 months for any indication, presumably for this reason.

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