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VOIDINGCYSTOURETHROGRAPHY
WHAT IS A VCUG? Radiologic investigation underfluoroscopy to  evaluate; **VU reflux *Bladder disease *Urethral stenosi...
WHEN TO DO?   UTI--- clinical febrile UTI+UA+ urine C/S        ** Children <5 years;   * U/S + VCUG   * Renal U/S (...
HOW TO DO?   Patient preparation   KUB scout film   Insertion of foley catheter   Introduced water soluble CM   Seria...
RADIATION DOSE For a child 5-10 years, effective radiation  dose is 1.6 mSv= nature background 6  months. Infant, effect...
COMPLICATION   Perforated urinary bladder   Intrarenal infection   Anaphylactoid reaction
NORMAL VCUG
NORMAL MALE VCUG
VU REFLUX
POSTERIOR URETHRAL      VALVE
IMAGING TECHNIQUE FOR         DETECTION OF    VESICOURETERAL REFLUX Direct Radionuclide Voiding Cystography  (DRVC) Void...
THANK YOU FOR  ATTENTION
Voiding cystourethrography
Voiding cystourethrography
Voiding cystourethrography
Voiding cystourethrography
Voiding cystourethrography
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Voiding cystourethrography

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Voiding cystourethrography

  1. 1. VOIDINGCYSTOURETHROGRAPHY
  2. 2. WHAT IS A VCUG? Radiologic investigation underfluoroscopy to evaluate; **VU reflux *Bladder disease *Urethral stenosis, others
  3. 3. WHEN TO DO? UTI--- clinical febrile UTI+UA+ urine C/S ** Children <5 years; * U/S + VCUG * Renal U/S (2-3 days after infection)--  abnormal -- VCUG +/-IVP (4-6 wks after acute infection) -----abnormal --  antibiotic prophylaxis & refer to specialist
  4. 4. HOW TO DO? Patient preparation KUB scout film Insertion of foley catheter Introduced water soluble CM Serial film—fullbladder, during urinate, post void
  5. 5. RADIATION DOSE For a child 5-10 years, effective radiation dose is 1.6 mSv= nature background 6 months. Infant, effective radiation dose is 0.8 mSv= nature background 3 months.
  6. 6. COMPLICATION Perforated urinary bladder Intrarenal infection Anaphylactoid reaction
  7. 7. NORMAL VCUG
  8. 8. NORMAL MALE VCUG
  9. 9. VU REFLUX
  10. 10. POSTERIOR URETHRAL VALVE
  11. 11. IMAGING TECHNIQUE FOR DETECTION OF VESICOURETERAL REFLUX Direct Radionuclide Voiding Cystography (DRVC) Voiding Cystourethrography ( VCUG) Voiding Urosonography ( VUS)
  12. 12. THANK YOU FOR ATTENTION

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