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In urology, voiding cystourethrography (VCUG) is a frequently performed technique for visualizing a person's urethra and urinary bladder while the person urinates (voids). It is used in the diagnosis of vesicoureteral reflux (kidney reflux), among other disorders. [1]
In adult cases, the patient is typically instructed to void three times, after which a post voiding image is obtained to see how much urine is left within the bladder (residual urine), which is useful to evaluate bladder contraction dysfunction. A final radiograph of the kidneys after the procedure is finished is performed to evaluate for ...
Cystourethrography is a radiographic, fluoroscopic medical procedure that is used to visualize and evaluate the bladder and the urethra. [1] Voiding and positive pressure cystourethrograms help to assess lower urinary tract trauma, reflux, suspected fistulas, and to diagnose urinary retention.
In normal patients, the plot is a series of spikes whose local minimums form a non-linear curve resembling an exponential growth curve. The spikes correspond to the bladder contractions associated with the micturition reflex. The curve formed by the bottom of the plot reflects the level of pressure necessary to void.
A retrograde urethrography [1] is a routine radiologic procedure (most typically in males) used to image the integrity of the urethra. Hence a retrograde urethrogram is essential for diagnosis of urethral injury, or urethral stricture .
Urodynamics will provide the physician with the information necessary to diagnose the cause and nature of a patient's incontinence, thus giving the best treatment options available. Urodynamics is typically conducted by urologists or urogynecologists. [citation needed]
Now the diagnosis has been confirmed by either cystoscopy or a prior urethrography, the patient is placed in the lithotomy position, and the urinary meatus is cleansed with an appropriate surgical cleansing agent (scrub), usually containing Povidone-iodine, then surgically draped.
These patients are typically treated with suprapubic tube and delayed urethroplasty. Other specific causes of urethral stricture include: Instrumentation (e.g., after transurethral resection of prostate , transurethral resection of bladder tumor , or endoscopic kidney surgery)