What is Voiding Cystourethrography (Voiding Cystourethrography)?
Voiding Cystourethrography (VCUG) is an x-ray imaging method used for the evaluation of the bladder and lower urinary system.
Why is Voiding Cystourethrography Needed?
VCUG examination is required in cases of suspicion of vesicoureteral reflux following urinary tract infection in children.
Urine is produced in the kidneys and collected in the bladder through the ureters. During urination, urine is expelled from the bladder through the urethra. In some children, backflow in the ureters occurs due to various reasons, which is defined as vesicoureteral reflux. In moderate leakage, urine may leak to the lower levels of the ureters; In severe cases, it can reach the kidneys and cause enlargement of the kidneys.
Although vesicoureteral reflux is usually present from birth, other causes of reflux include stenosis at the bladder outlet, insufficient emptying of the bladder, urination with very high pressure and urinary system infections.
Reflux. It is often seen together with urinary tract infection, and this rate is 40% in newborns and babies under 1 year of age, and 25% in children over 1 year of age. This examination also allows the diagnosis of an important cause of stenosis seen in boys, called posterior urethral valve. .
In some cases such as urination dysfunction and neurogenic bladder, the bladder images obtained during this examination are informative for the physician.
How is Voiding Cystourethrography Examination Performed?
It should be performed especially after making sure that there is no infection. must. The bladder is filled with a catheter appropriate for the patient's age, and when the bladder is fully filled, the catheter is removed either in the form of a video or by taking spot films: Posterior urethral valves and urethral strictures are evaluated.
What is the Benefit of Voiding Cystourethrography Examination for My Child?
VCUG helps your physicians reach the correct diagnosis by giving detailed information about urinary tract diseases that can cause permanent kidney damage. and will help plan the best treatment for you.
VCUG provides sufficient information in the diagnosis of reflux, which usually occurs due to urinary tract pathologies, and in determining the necessary treatment. In this way, there is often no need to apply diagnostic surgical methods.
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