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Infantile bladder rupture during voiding cystourethrography

Abdol M Kajbafzadeh1, Parisa Saeedi, Ali R Sina

  • 1Pediatric Urology Research Center, Department of Urology, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran. kajbafzd@sina.tums.ac.ir

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|September 5, 2007
PubMed

Insights

Infantile bladder rupture is rare, often linked to urinary issues. This study highlights two cases during voiding cystourethrography (VCUG), emphasizing procedural safety to prevent such events.

Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging
  • Medical Device Safety

Background:

  • Bladder rupture in infants is uncommon, typically associated with conditions like urethral obstruction or neurogenic bladder.
  • Voiding cystourethrography (VCUG) is a common diagnostic imaging procedure used in pediatric urology.
  • Ensuring the safety and efficacy of diagnostic procedures in neonates and infants is crucial.

Observation:

  • Two distinct cases of bladder rupture occurred in infants during the VCUG procedure.
  • These events underscore potential risks associated with VCUG in the pediatric population.
  • Careful monitoring during the procedure is essential for early detection of complications.

Findings:

  • The reported cases of infantile bladder rupture during VCUG suggest a need for refined procedural guidelines.
  • Specific attention to bladder volume relative to body weight is recommended.
  • Close monitoring of intravesical pressure and contrast injection speed during VCUG is critical.

Implications:

  • Adherence to enhanced safety criteria during VCUG can significantly reduce the risk of bladder rupture in infants.
  • This study provides valuable insights for pediatric radiologists and urologists performing VCUG.
  • Optimizing VCUG techniques contributes to improved patient safety in pediatric diagnostic imaging.

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