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Pediatric Radiology

Erschienen in:

01.02.2004 | Original Article

How to perform the perfect voiding cystourethrogram

verfasst von: Seema Agrawalla, Rowena Pearce, T. Robin Goodman

Erschienen in: Pediatric Radiology | Ausgabe 2/2004

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Abstract

The voiding cystourethrogram (VCUG) examination is a difficult investigation to perform and is a stressful experience for patients and their parents, as well as for the radiologists, technicians and paediatric radiology nurses involved in the examination. Despite the VCUG being one of the most commonly performed fluoroscopic procedures in paediatric radiology practice, there is no general consensus as to the best way to perform this investigation. This is particularly concerning when one considers the potentially high gonadal radiation dose children may receive. Because of this, we have undertaken a comprehensive literature review of various aspects of the test in order to determine the best way to perform the VCUG in modern paediatric radiology practice.

Schneider K, Kruger-Stollfub I, Ernst G, et al (2001) Paediatric fluoroscopy—a survey of children’s hospitals in Europe. Pediatr Radiol 31:238–246PubMed

Massurakis S, Sprigg A, Steiner GM (1994) The appropriateness of use and the clinical impact of micturating cystourethrography in paediatric practice. Clin Radiol 49:541–545PubMed

Srivastava T, Betts G, Rosenberg AR, et al (2001) Perception of fear, distress and pain by parents of children undergoing a micturating cystourethrogram: a prospective study. J Paediatr Child Health 37:271–273CrossRefPubMed

Merritt KA, Ornstein PA, Spicker B (1994) Children’s memory for a salient medical procedure: implications for testimony. Pediatrics 94:17–23PubMed

Phillips DA, Watson AR, Collier J (1996) Distress and radiological investigations of the urinary tract in children. Eur J Pediatr 155:684–687PubMed

Phillips DA, Watson AR, MacKinlay D (1998) Distress and the micturating cystourethrogram: does preparation help? Acta Paediatr 87:175–179PubMed

Zelikovsky N, Rodrigue JR, Gidycz CA, et al (2000) Cognitive behavioural and behavioural interventions help young children cope during a voiding cystourethrogram. J Pediatr Psychol 25:535–543CrossRefPubMed

Salmon K, Pereira JK (2002) Predicting children’s response to an invasive medical investigation: the influence of effortful control and parent behavior. J Pediatr Psychol 27:227–233CrossRefPubMed

Robinson M, Savage J, Steward M, et al (1999) The diagnostic value, parental and patient acceptability of micturating cysto-urethrography in children. Ir Med J 92:366–368PubMed

10.

Geirsson G, Lindstrom S, Fall M, et al (1994) Positive bladder cooling test in neurologically normal young children. J Urol 151:446–448PubMed

11.

Zerin JM (1993) Impact of contrast medium temperature on bladder capacity and cystographic diagnosis of vesicoureteral reflux in children. Radiology 187:161–164PubMed

12.

Goodman TR, Kilborn T, Pearce R (2003) Warm or cold contrast in the micturating cystourethrogram: which is best? Clin Radiol 58:551–554CrossRefPubMed

13.

Weese DL, Greenberg HM, Zimmern PE (1993) Contrast media reactions during voiding cystourethrography or retrograde pyelography. Urology 41:81–83PubMed

14.

British National Formulary (2002) Pharmaceutical Press, Wallingford, Oxon

15.

Carlson D, Mowery BD (1997) Standards to prevent complications of urinary catheterization in children: should and should-knots. J Soc Pediatr Nurs 2:37–41PubMed

16.

Papadopoulou F, Efremidis SC, Economou A, et al (2002) Cyclic voiding cystourethrography: is vesicoureteral reflux missed with standard voiding cystourethrography? Eur Radiol 12:666–670CrossRefPubMed

17.

Paltiel HJ, Rupich RC, Kiruluta HC (1992) Enhanced detection of vesicoureteral reflux in infants and children with use of cyclic voiding cystourethrography. Radiology 184:753–755PubMed

18.

Seppanen U, Torniainen P, Kiviniitty K (1979) Radiation gonad doses received by children in intravenous urography and micturition cysto-urethrography. Pediatr Radiol 8:169–172PubMed

19.

Bazopoulos EV, Prassopoulos PK, Damilakis JE, et al (1998) A comparison between digital fluoroscopic hard copies and 105 mm spot films in evaluating vesicoureteric reflux in children. Pediatr Radiol 28:162–166CrossRefPubMed

20.

Diamond DA, Kleinman PK, Spevak M, et al (1996) The tailored low dose fluoroscopic voiding cystogram for familial reflux screening. J Urol 155:681–682PubMed

21.

Boland GW, Murphy B, Arellano R, et al (2000) Dose reduction in gastrointestinal and genitourinary fluoroscopy: use of grid-controlled pulsed fluoroscopy. AJR Am J Roentgenol 175:1453–1457PubMed

22.

Hernandez RJ, Goodsitt MM (1996) Reduction of radiation dose in pediatric patients using pulsed fluoroscopy. AJR Am J Roentgenol 167:1247–1253PubMed

23.

Brown PH, Thomas RD, Silberberg PJ, et al (2000) Optimization of a fluoroscope to reduce radiation exposure in pediatric imaging. Pediatr Radiol 30:229–235CrossRefPubMed

24.

Thomsen HS, Rygaard H, Strandberg C (1985) Micturating cystourethrography and vesicoureteral reflux. Eur J Radiol 5:318–320PubMed

25.

Chapman S, Nakielny R (2001) A guide to radiological procedures, 4th edn. Saunders, London

26.

Kaefer M, Zurakowski D, Bauer SB, et al (1997) Estimating normal bladder capacity in children. J Urol 158:2261–2264PubMed

27.

Sillen U (2001) Bladder function in healthy neonates and its development during infancy. Urology 166:2376–2381

28.

Lederman HM, Khademian ZP, Felice M, et al (2002) Dose reduction fluoroscopy in pediatrics. Pediatr Radiol 32:844–848CrossRefPubMed

29.

Brown PH, Silberberg PJ, Thomas RD, et al (2000) A multihospital survey of radiation exposure and image quality in pediatric fluoroscopy. Pediatr Radiol 30:236–242CrossRefPubMed

30.

Ditchfield MR, Grattan-Smith JD, de Campo JF, et al (1995) Voiding cystourethrography in boys: does the presence of the catheter obscure the diagnosis of posterior urethral valves? AJR Am J Roentgenol 164:1233–1235PubMed

31.

Whitehouse GH, Worthington BS (1990) Techniques in diagnostic imaging. Blackwell, Oxford

32.

American Academy of Pediatrics (1999) The diagnosis, treatment and evaluation of the initial UTI in febrile infants and young children. Pediatrics 103:843–852PubMed

33.

Shekut SE, Collins DD, Smith WL (1999) Efficacy of urinalysis and culture from sterile bladder catheterisation preceding voiding cystourethrography, Abstract 94. Presented at SPR Annual Meeting, 1999, Vancouver.

34.

Zerin JM, Shulkin BL (1992) Post procedural symptoms in children who undergo imaging studies of the urinary tract: is it the contrast material or the catheter? Radiology 182:727–730PubMed

35.

Maskell R, Pead L, Vinnicombe J (1978) Urinary infection after micturating cystography. Lancet 2:1191–1192PubMed

36.

McAlister WH, Cacciarelli A, Shackelford GD (1974) Complications associated with cystography in children. Radiology 111:167–172PubMed

37.

Crowley JJ, McAlister WH (1995) Extravasation of contrast material during voiding cystourethrography. Abdom Imaging 20:68–69PubMed

38.

Rathaus V, Konen O, Shapiro M, et al (2001) Malposition of catheters during voiding cystourethrography. Eur Radiol 11:651–654CrossRefPubMed

39.

International Reflux Study Committee (1981) Medical versus surgical treatment of primary vesicoureteral reflux: a prospective international reflux study in children. J Urol 125:277–283PubMed

Titel: How to perform the perfect voiding cystourethrogram
verfasst von: Seema Agrawalla
Rowena Pearce
T. Robin Goodman
Publikationsdatum: 01.02.2004
Verlag: Springer-Verlag
Erschienen in: Pediatric Radiology / Ausgabe 2/2004
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-003-1073-8

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