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The Journal of Urology
|October 1, 1976
Insights
Voiding cystourethrography (VCUG) and static cystograms are complementary for evaluating urinary tract infections in girls. Both awake VCUG and asleep cystograms offer valuable, distinct information for pediatric urological assessments.
Area of Science:
- Pediatric Urology
- Diagnostic Imaging
Background:
- Voiding cystourethrography (VCUG) is increasingly available and performed in awake children.
- Static cystography with cystoscopy is traditionally performed in anesthetized children.
Purpose of the Study:
- To evaluate the utility and complementarity of awake voiding cystourethrography and asleep static cystography in pediatric girls with urinary tract infections.
Main Methods:
- Retrospective review of 100 girls with urinary tract infections.
- Analysis of data from both voiding cystourethrography and static cystography performed during the same urological evaluation.
Main Results:
- Awake voiding cystourethrography and asleep static cystography provide complementary diagnostic information.
- Both imaging modalities are useful in the comprehensive urological evaluation of pediatric urinary tract infections.
Conclusions:
- Neither voiding cystourethrography nor static cystography is obsolete; they serve distinct and valuable roles.
- Combined use of both studies enhances diagnostic accuracy in pediatric urinary tract infection evaluations.
Abstract:
With the improved quality and increased availability of voiding cystourethrography in children while they are awake many have considered obsolete the static cystogram done with the child asleep in conjunction with cystoscopy. Our review of 100 girls undergoing both studies as part of the same urological evaluation for urinary tract infection reveals that they are useful and complementary at times.