Establishing a Standard Protocol for the Voiding Cystourethrography

Dominic Frimberger; Maria-Gisela Mercado-Deane; Section on Urology; Section on Radiology

doi:10.1542/peds.2016-2590

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Establishing a Standard Protocol for the Voiding Cystourethrography

Journal article

Peer reviewed

Establishing a Standard Protocol for the Voiding Cystourethrography

Dominic Frimberger, Maria-Gisela Mercado-Deane, Section on Urology and Section on Radiology

Pediatrics (Evanston), Vol.138(5), p.e20162590

11/2016

DOI: 10.1542/peds.2016-2590

PMID: 27940792

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Abstract

The voiding cystourethrogram (VCUG) is a frequently performed test to diagnose a variety of urologic conditions, such as vesicoureteral reflux. The test results determine whether continued observation or an interventional procedure is indicated. VCUGs are ordered by many specialists and primary care providers, including pediatricians, family practitioners, nephrologists, hospitalists, emergency department physicians, and urologists. Current protocols for performing and interpreting a VCUG are based on the International Reflux Study in 1985. However, more recent information provided by many national and international institutions suggests a need to refine those recommendations. The lead author of the 1985 study, R.L. Lebowitz, agreed to and participated in the current protocol. In addition, a recent survey directed to the chairpersons of pediatric radiology of 65 children's hospitals throughout the United States and Canada showed that VCUG protocols vary substantially. Recent guidelines from the American Academy of Pediatrics (AAP) recommend a VCUG for children between 2 and 24 months of age with urinary tract infections but did not specify how this test should be performed. To improve patient safety and to standardize the data obtained when a VCUG is performed, the AAP Section on Radiology and the AAP Section on Urology initiated the current VCUG protocol to create a consensus on how to perform this test.

Cystography - methods

Practice Guidelines as Topic - standards

Humans

Risk Factors

Child, Preschool

Urination Disorders - physiopathology

Male

Vesico-Ureteral Reflux - diagnostic imaging

Vesico-Ureteral Reflux - physiopathology

Urethra - diagnostic imaging

Urination Disorders - diagnostic imaging

Sensitivity and Specificity

Female

Urination - physiology

Urography - methods

Pediatrics - standards

Urography - standards

Societies, Medical - standards

Child

Cystography - standards

Details

Title: Subtitle: Establishing a Standard Protocol for the Voiding Cystourethrography
Creators: Dominic Frimberger
Maria-Gisela Mercado-Deane
Section on Urology
Section on Radiology
Contributors: Christopher S Cooper (Contributor) - University of Iowa, Urology
Resource Type: Journal article
Publication Details: Pediatrics (Evanston), Vol.138(5), p.e20162590
DOI: 10.1542/peds.2016-2590
PMID: 27940792
NLM abbreviation: Pediatrics
ISSN: 0031-4005
eISSN: 1098-4275
Publisher: American Academy of Pediatrics; United States
Language: English
Date published: 11/2016
Academic Unit: Stead Family Department of Pediatrics; Urology; Medicine Administration
Record Identifier: 9984051586202771

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