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Beyond reflux: the spectrum of voiding cystourethrogram findings in the pediatric population

Jason J Higgins1, Jacqueline A Urbine2, Archana Malik3

  • 1Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Pediatric Radiology
|September 7, 2021
PubMed

Insights

Voiding cystourethrography (VCUG) is a key imaging tool for diagnosing pediatric vesicoureteral reflux. This radiographic technique also reveals other common and uncommon abnormalities in the ureters, bladder, and urethra, aiding in diagnosis.

Area of Science:

  • Pediatric radiology
  • Urology
  • Diagnostic imaging

Background:

  • Voiding cystourethrography (VCUG) is a standard radiographic method for evaluating children.
  • It is primarily used to detect vesicoureteral reflux.

Purpose of the Study:

  • To highlight the utility of VCUG beyond vesicoureteral reflux.
  • To familiarize clinicians with the appearance of various lower urinary tract abnormalities.

Main Methods:

  • Review of radiographic findings from VCUG examinations.
  • Correlation of imaging findings with common and uncommon urological conditions.

Main Results:

  • VCUG effectively visualizes the entire lower urinary tract.
  • Numerous ureteral, bladder, and urethral abnormalities can be identified concurrently.

Conclusions:

  • VCUG is valuable for diagnosing vesicoureteral reflux and other pediatric urological conditions.
  • Recognizing diverse VCUG findings improves diagnostic accuracy for lower urinary tract abnormalities.

Keywords:
AnomalyChildrenCongenitalFluoroscopyUrinary tractVesicoureteral refluxVoiding cystourethrogram

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