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Diagnostic imaging of neurogenic bladder
Paolo Campioni1, Stefania Goletti, Marinella Nanni
1Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Largo A. Gemelli 8, 00168 Roma, Italy. pcampioni@rm.unicatt.it
Rays
|April 17, 2003
Summary
Voiding cystourethrography is key for diagnosing neurogenic bladder, assessing bladder function, and detecting complications like stones and infections. This imaging technique provides crucial morphofunctional details for accurate diagnosis and management.
Area of Science:
- Radiology
- Urology
- Pediatric Urology
Background:
- Neurogenic bladder significantly impacts bladder function and can lead to serious complications.
- Accurate diagnosis is essential for effective management and prevention of secondary issues.
Purpose of the Study:
- To highlight the role of voiding cystourethrography in diagnosing neurogenic bladder.
- To detail the diagnostic capabilities of this imaging modality for bladder morphology and function.
Main Methods:
- Voiding cystourethrography (VCUG) is the primary radiologic examination used.
- VCUG evaluates bladder morphology, filling capacity, and muscular contraction during voiding.
- It also assesses bladder neck, sphincter function, urethral morphology, and ureterovesical reflux.
Main Results:
- VCUG provides comprehensive morphofunctional information for neurogenic bladder diagnosis.
- The examination identifies ureterovesical reflux, residual urine, and potential complications.
- Early detection of complications such as vesical lithiasis, diverticula, and infections is facilitated.
Conclusions:
- Voiding cystourethrography is the cornerstone for the radiologic diagnosis of neurogenic bladder.
- It offers detailed insights into bladder function, morphology, and associated pathologies.
- This imaging technique is vital for timely diagnosis and management of neurogenic bladder and its complications.