Voiding Cystourethrogram: How Much Should We Be Selective?

Overview

Journal Turk J Urol

Publisher Aves

Date 2017 Mar 9

PMID 28270956

Citations 1

Authors

Sibel Yel

Sebahat Tulpar

Ruhan Dusunsel

Hakan Muammer Poyrazoglu

Ismail Dursun

Ummuhan Abdulrezzak

Zubeyde Gunduz

Kenan Yilmaz

Funda Bastug

Affiliations

Soon will be listed here.

Abstract

Objective: In this study, we examined the patients' characteristics, who underwent voiding cystourethrography (VCUG), in order to determine any selectivity for indication of this invasive method.

Material And Methods: After exclusion of indications of neurogenic bladder or antenatal hydronephrosis and control VCUGs, 159 VCUGs performed in our clinic within one year were evaluated. Patients are divided into three groups accoding to age. Clinical characteristic and findings of renal ultrasonography (US) and renal scintigraphy were examined.

Results: Vesicoureteral reflux (VUR) was detected in 61 (38.3%) of 159 patients who underwent cystourethrographic examinations, in 45.8% of the patients with a history of recurrent urinary tract infection (UTI), in 22.0% of the patients with pathological urinary system US without history of recurrent UTI. High-grade reflux rate was significantly more frequent in renal units with pathological US findings. Severe scar was significantly more frequent in renal units with high-grade reflux when compared to renal units without reflux and those with low-grade reflux. Predictive values of recurrent UTI, scarring status and pathological US for VUR were separately analyzed and seen that likelihood of indicating VUR was increased when all 3 risk factors were assessed together.

Conclusion: Vesicoureteral reflux is a problem in which diagnostic process and management strategy should have to be considered in individualized manner for each patient. Before prescribing invasive VCUG, imaging urinary system by US and scintigraphy and determining whether there is recurrent UTI will improve selectivity and success of VCUG.

Citing Articles

Practice patterns in ordering a voiding cystourethrogram for pediatric patients among different specialties in a Middle Eastern tertiary care center.

Hout M, Aoun B, Atweh L, Merhe A, El-Hout Y Urol Ann. 2019; 11(2):168-170.

PMID: 31040602 PMC: 6476207. DOI: 10.4103/UA.UA_124_18.

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