Related Experiment Video

Updated: Oct 9, 2025

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
03:19

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography

Published on: June 21, 2024

1.4K

Analysis of Indications for Voiding Cystography in Children

Natalia Kopiczko1, Aleksandra Dzik-Sawczuk1, Karolina Szwarc1

  • 1Department of Pediatrics and Nephrology, Medical University of Bialystok, ul. Waszyngtona 17, 15-274 Bialystok, Poland.

Journal of Clinical Medicine
|December 24, 2021
PubMed

Insights

Voiding cystography is crucial for diagnosing vesicoureteral reflux (VUR) in children with febrile urinary tract infections or urinary tract malformations. However, its use should be limited in children with lower urinary tract dysfunction.

Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging

Background:

  • Vesicoureteral reflux (VUR) is a common condition in children.
  • Voiding cystography (VCUG) is a key diagnostic tool for VUR.
  • Understanding the diagnostic yield of VCUG based on clinical indications is important for optimizing its use.

Purpose of the Study:

  • To analyze the prognosis of VUR based on different indications for VCUG.
  • To evaluate the prevalence and degree of VUR in children undergoing VCUG for specific reasons.

Main Methods:

  • Retrospective analysis of 4302 children over a 12-year period.
  • Children were categorized by VCUG indication: febrile UTI, ultrasonography-detected urinary tract malformations, or lower urinary tract dysfunction.
  • Prevalence and degree of VUR were compared across these groups.

Main Results:

  • VUR was diagnosed in 21.32% of children overall.
  • Reflux prevalence was similar in children with febrile UTI (23.63%) and urinary tract malformations (23.34%).
  • Children with lower urinary tract dysfunction showed significantly lower VUR prevalence (14.65%) and degree (p < 0.01).

Conclusions:

  • VCUG is highly valuable for detecting VUR in children with febrile UTIs or urinary tract malformations.
  • The diagnostic utility of VCUG is lower in children with lower urinary tract dysfunction, suggesting limited indications for this group.

Keywords:
infectionurinary tractvoiding cystography

More Related Videos

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models10:19

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

Published on: August 9, 2012

19.4K
Photoacoustic Cystography09:49

Photoacoustic Cystography

Published on: June 11, 2013

13.4K

Related Concept Videos

Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
203
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
259
Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
561
Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
889
Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
81
Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
78