Routine evaluation of vesico-ureteric reflux in children with anorectal malformation does not reduce the rate of urinary tract infection

This retrospective study of 344 children with anorectal malformations found that routine screening for vesicoureteric reflux using MCUG does not reduce urinary tract infection rates. Abnormal renal ultrasound was the only significant predictor of UTI risk, suggesting targeted imaging based on renal USS findings may be more appropriate than universal MCUG screening.