Should i get a vcug for my 2yr old daughter after first uti at 24mths? dr wants ultrasound & vcug

Not necessarily: If your daughter is potty trained then no further workup is necessary. If your daughter is not potty trained current thinking allows one urinary tract infection without fever without a workup: ultrasound and vcug. If there is a strong family history of severe urinary tract disease then i would recommend the work up after the first urinary tract infection.

Yes: Vcug & ultrasound exam of kidneys and bladder are typically performed after a documented febrile UTI in infants and young children. These exams are to determine whether or not a child has an abnormilty in his/her urinary tract (from kidney down to urethral opening) which predisposes the child to develop recurrent utis and resultant scarring in kidneys.

Yes: Current recommendations for the work up of a UTI for young children up to 2 years includes a renal ultrasound as well as a vcug. Other factors may influence this decision: fever with uti, gender (boys of any age require work up), recurrent uti's, urination problems, growth problems, high blood pressure and family history of kidney problems.

Yes: All girls under 2 and boys of any age should be worked up after their first uti. Either a VCUG or a negative acute phase dmsa scan are necessary to insure that the kidneys are safe. See: http://www.Youtube.Com/watch?V=1nbwkiug8vi and http://www.Youtube.Com/watch?V=tggfht6jrm4 for more info.

Debateable: Many little girls get their 1st UTI at about age-2-years, around toilet training age. I personally recommend avcug if child also had a fever or back pain, suggesting possible bladder reflux, associated with uti. Academy of pediatrics recently advised waiting until a child has a 2nd UTI before getting a vcug. Thus yes to ultrasound. U decide about vcug, but always get a urine test if UTI suspected.