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Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

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Imaging Studies II: Ultrasonography01:24

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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

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Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
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Voiding cystourethrogram--are our protocols the same?

Blake W Palmer1, Faridali G Ramji, Charles T Snyder

  • 1Department of Urology and Radiological Sciences, College of Medicine, FGR, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104, USA. Blake-Palmer@ouhsc.edu

The Journal of Urology
|August 23, 2011
PubMed
Summary
This summary is machine-generated.

Voiding cystourethrogram (VCUG) protocols vary significantly across North America, impacting diagnostic accuracy for vesicoureteral reflux. A lack of standardized procedures hinders consistent results and literature comparisons.

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Area of Science:

  • Radiology
  • Pediatric Imaging
  • Urology

Background:

  • Voiding cystourethrogram (VCUG) is the standard for diagnosing vesicoureteral reflux (VUR).
  • VUR diagnosis accuracy can be influenced by various VCUG parameters.

Purpose of the Study:

  • To investigate the variability in institutional protocols for performing VCUG across North America.
  • To identify specific parameters with differing institutional practices.

Main Methods:

  • A 29-item survey was distributed to pediatric radiology chairpersons at 65 national pediatric hospitals.
  • The survey collected data on institutional protocols for VCUG procedures.

Main Results:

  • Responses from 41 institutions revealed high agreement on some aspects (e.g., parental presence, gravity infusion, no balloon catheters).
  • Significant variation was observed in contrast infusion height, stopping criteria for the infilling phase, and voiding procedures.
  • Contrast height varied, with 39% using 100 cm, while 12.2% did not measure or varied height.

Conclusions:

  • No standardized VCUG protocol currently exists across North America.
  • Observed protocol differences may significantly impact VUR detection and comparability of results in medical literature.