Pdf on jan 1, 2020, yu jin kim and others published the abcs of voiding cystourethrography find, read and cite all the research you need on researchgate. Acrspr practice parameter for the performance of voiding. Voiding cystourethrography vcug, also known as a micturating cystourethrography mcu, is a. Of children presenting with a febrile uti, 2540% are found to. In addition, it also demonstrates whether urine goes back up to the. Article pdf available in korean journal of pediatrics 555. Although voiding cystourethrography is a good test to rule out reflux, its diagnostic reliability can be enhanced by a second voiding cycle. A thin flexible tube urinary catheter is inserted through your urethra into your bladder. Voiding cystourethrography is commonly performed in children with prenatally diagnosed. A liquid material that shows up well on an xray picture contrast material is injected into your bladder through the catheter, then xrays are taken. Oral midazolam for voiding dysfunction in children. Voiding cystourethrography vcug is a radiographic and fluoroscopic study.
A thin, flexible tube called a catheter will be inserted into. Review article new trends in voiding cystourethrography and vesicoureteral re. Urinary tract infections utis represent a common bacterial cause of febrile illness in children. Contrast media can be absorbed across the urothelium in amounts sufficient to cause severe anaphylactoid reactions. The role of voiding cystourethrography in the investigation of. Cyclic voiding cystourethrography for children with urinary tract. Excellent resource for radiology residents, technologists, and radiologists. The healthcare provider may also use fluoroscopy to watch how the bladder empties while you urinate voiding cystourethrography. The test is also used to pinpoint anything abnormal about the urethra and the bladder. Abstract voiding cystourethrography is the most important fluoroscopic examination in pediatric urology for the investigation of lower urogenital. Voiding cystourethrography is commonly performed in children with prenatally diagnosed hydronephrosis, urinary tract infections, and voiding abnormalities.
Pdf voiding cystourethrography in female stress incontinence. Micturating cystourethrography, introduced in the 1920s, remains the standard diagnostic investigation for vur. Avoidance of voiding cystourethrography in infants younger. Vur is a common urological diagnosis in children, with an estimated prevalence of 0. Voiding cystourethrography radiology reference article. Establishing a standard protocol for the voiding cystourethrography dominic frimberger, md, mariagisela mercadodeane, md, faap, section on urology, section on radiology this document is ed and is property of the american academy of pediatrics and its board of. Called a vcug or cystogram, this test shows your doctor the size of your bladder and how well it can drain. This article cites 17 articles, 2 of which you can access for free at. The purpose of the vcug is to assess the bladder and urethra during urination. A voiding cystourethrogram is an xray study of the bladder and urethra. Voiding cystourethrography vcug download vcug pdf guide. The voiding cystourethrogram vcug is a frequently performed test to diagnose a variety of urologic conditions, such as vesicoureteral reflux. While being monitored by fluoroscopy and xrays, you will be asked to void urinate. The test results determine whether continued observation or an interventional procedure is indicated.
A test done to examine the bladder and urethra while the bladder fills and empties. Voiding cystourethrography involves visualization of the bladder filled with contrast medium instilled through a catheter by use of a syringe or gravity, and, after the catheter is removed, the excretion of the contrast medium. The voiding cystourethrogram vcug is an xray study which gives information about the bladder and the urethra. Voiding cystourethrography is a fluoroscopic examination that was introduced several decades ago and is commonly performed in children by general and pediatric radiologists. The purpose of the examination is to assess the bladder, the urethra, other opacified. Voiding cystourethrography vcug osf childrens hospital. The procedure is relatively simple and costeffective, and complications are very rare. Cystography may show whether any urine backs up into the kidneys vesicoureteral reflux. Excretion or micturition is recorded electronically or on videotape for confirmation or exclusion of ureteral reflux. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
Voiding cystourethrogram vcug is a diagnostic procedure in which iodinebased contrast material is infused into the bladder using a temporary bladder catheter or foley catheter. The voiding cystourethrogram vcug is a frequently performed test to. The test is performed in a hospital radiology department or in a health care providers office. Voiding cystourethrography vcug is a commonly performed diagnostic procedure for the evaluation of vesicoureteral reflux with urinary tract infection or congenital renal diseases in children. Contrast media reactions during voiding cystourethrography.
Reliability of voiding cystourethrography to detect reflux. Establishing a standard protocol for the voiding cystourethrography. Direct lighting and adequate manual separation of the labia are necessary to achieve adequate. Kleinman pk, diamond da, karellas a, spevak mr, nimkin k, belanger p. Vcug voiding cystourethrogram precare what you need. Data sources include ibm watson micromedex updated 4 may 2020, cerner multum updated 4 may 2020. The cystogram is an xray study which gives information about the bladder.
Step by step instructions on how to perform a cystogram and voiding cystourethrogram in an adult patient. Females with post antiincontinence operation voiding dys. Pdf voiding cystourethrography vcug is a commonly performed. Les tableaux sont exclusivement disponibles en format pdf. Voiding cystourethrography vcug is a radiographic and fluoroscopic study of the lower urinary tract. For example, it can find a problem with the narrowing of the urethra stricture or help uncover vur vesicoureteral reflux, a condition in which urine flows back up from the bladder through the. We report 2 cases of anaphylactoid reactions during voiding cystourethrography vcug or retrograde pyelography rgp. Voiding cystourethrography can be performed with many variations designed to optimize visualization of disease and. A childrens pediatric voiding cystourethrogram uses fluoroscopy a form of realtime xray to examine a childs bladder and lower urinary tract.
Avoidance of voiding cystourethrography in infants younger than 3 months with escherichia coli urinary tract infection and normal renal ultrasound jeanyves pauchard,1 hassib chehade,2 chafika zohra kies,1 eric girardin,3 francois cachat,2 mario gehri1 to cite. To analyze the benefit of voiding chain cystourethrography vcc placing a radiographic opaque chain into the urethra and bladder and asking the patient to void under fluoroscopy in the urodynamic evaluation of female bladder outlet obstruction boo. Reliability of voiding cystourethrography to detect. Voiding cystourethrography in female stress incontinence article pdf available in american journal of roentgenology 1674. Indication for voiding cystourethrography during first. Definition of voiding cystourethrogram medicinenet. Radiographs xrays are usually taken before, during, and after voiding. Girls 1017 years of age must take a pregnancy test before the vcug because this test uses xrays to the abdomen. Descriptive statistics for the detection of vesicoureteral reflux anhvu ngo 1, seth d. Voiding cystourethrography is a less reliable test for grading reflux than for documenting the absence of vesicoureteric reflux.
Voiding cystourethrography vcug, also known as a micturating cystourethrography mcu, is a fluoroscopic study of the lower urinary tract in which contrast is introduced into the bladder via a catheter. Pdf urinary bladder rupture during voiding cystourethrography. Voiding cystourethrography in female stress incontinence. Cystourethrography medical definition merriamwebster. Reliability of voiding cystourethrography to detect urethral obstruction in boys.
Diagram shows the components of a fluoroscopic imaging chain reprinted from schueler. It shows reflux from the retrograde egress of radiographic contrast media instilled into the bladder during radiographic screening. It requires aseptic bladder catheterization, instillation of iodinated contrast media, fluoroscopic observation,and image documentation of the findings. To assess the value of cyclic voiding cystourethrography vcug for the. What is the definition of voiding cystourethrography youtube. In many centers, voiding cystourethrography is a routine part of pretransplantation assessment of the lower urinary tract.
Voiding cystourethrography can be performed with many variations designed to optimize visualization of disease and minimize radiation exposure. Your doctor has requested an imaging study called a voiding cystourethrogram. A procedure done to examine the bladder and urethra while the bladder fills and empties. Kobayashi y1, mishina h1, michihata n2, miyasaka m3, takayama ji4. Cystourethrography is a radiographic, fluoroscopic medical procedure that is used to visualize and evaluate the female urethra. Familiarity with the anomalies and abnormalities that may occur in this patient population and use of tech. The only exception to receiving a pregnancy test is if the child has a proven absence of ovariesuterus.
The study is commonly used to evaluate children for a condition called vesicoureteral reflux. With permission from radiological society of north america the xray generator allows for the selection of kilovolt peak kvp and tube current ma that is delivered to the xray tube. Cystourethrography an overview sciencedirect topics. The purpose of the examination is to assess the bladder, urethra, postoperative anatomy and micturition in order to determine the presence or absence of bladder and urethral abnormalities. Background voiding cystourethrography vcug is the gold standard of detecting and grading the vesicoureteral reflux. Voiding and positive pressure cystourethrograms help to assess lower urinary tract trauma, reflux, suspected fistulas, and to diagnose urinary retention. Vcugs are ordered by many specialists and primary care providers, including pediatricians, family practitioners, nephrologists, hospitalists. For example, cystourethrography images the bladder and the urethra. Voiding cystourethrogram what is a voiding cystourethrogram vcug test. A cystourethrogram is an xray test that takes pictures of your bladder and urethra while your bladder is full and while you are urinating. Establishing a standard protocol for the voiding cystourethrography dominic frimberger, md, mariagisela mercadodeane, md, faap, section on urology, section on radiology this document is ed and is property of the american academy of pediatrics and its board of directors. Urinary bladder rupture during voiding cystourethrography. Please plan to arrive a half hour before your scheduled procedure time. Tailored lowdose fluoroscopic voiding cystourethrography for the reevaluation of vesicoureteral reflux in girls.
Indication for voiding cystourethrography during first urinary tract infection. Angela m arlen1 and christopher s cooper2 1department of urology, yale university school of medicine, new haven, connecticut, and 2department of urology, university of. It shows how well the bladder and its connecting tubes called the urethra and the ureters are working. Cystography is sometimes combined with other procedures. A radiopaque liquid that can be seen on xray is placed in the bladder through a catheter. As you prepare for your childs vcug at osf healthcare childrens hospital of illinois, keep the following in mind. A voiding cystourethrography vcug is an imaging study that allows us to evaluate the functioning of your childs bladder, urethra, and kidneys, and to detect reflux a condition in which urine backs up to the kidneys instead of flowing out through the urethra. This test uses xrays to take pictures of the urinary system.
1176 1511 147 154 366 231 911 1341 1360 487 687 933 691 733 1123 345 246 648 34 823 53 1269 1567 536 1001 1038 1097 902 1120 1469 874 347 996 862 946