Doctor insights on:
Voiding Cystourethrogram Vcug
Uncomfortable: Passage of catheter is not very pleasant. Radiologist can use Lidocaine anesthetic gel. Voiding during and first void after study may sting a little. Essentially not painful. Request addition of antibiotic like gentamicin to the xray contrast fluid used to reduce risk of introducimg a uti. ...Read more
Urethrogram 2 ways: Urethra filled by retrograde instillation of x-ray contrast, in males, through a Foley catheter inflated just inside urethral opening or with a special retrograde urethrogram device attached to a syringe filling urethra and bladder until bladder full & patient voids. Or in both sexes bladder filled via a catheter which is then removed & urethra then filled from below by syringe. Best urethral pics. ...Read more
Urinary problems: A retrograde urethrogram is when a tiny catheter is put into the opening of the urethra (penis in males) and pictures are taken as the dye is injected backwards. A voiding study is the opposite, contrast is put into the bladder with a catheter and pictures are taken as the patient pees the contrast out. ...Read more
Dye to &from bladder: Retrograde urethrogram performed be retrograde instillation of urographic contrast medium (dye) from urethral meatus (opening) backwards up the bladder. Voiding cystourethrogram is performed by having a small catheter passed up urethra into th bladder which is then filled with contrast until full and subject then urinates whilst entire study is monitored by xray fluoroscopy. ...Read more
Fluoroscopic study: Fluoroscopic imaging of bladder and urethra. Usually small catheter is placed through urethra into the bladder. This hurts slightly for a few seconds. Contrast material is placed by gravity via catheter into bladder filling up bladder until patient gets urge to void. Patient then is also imaged voiding. ...Read more
Bladder+urethra xray: Vcug is a fluroscopic xray stud to demostrate bladder + urethra during filling + voiding. Catheter is introduced into the bladder which is slowly filled with xray contrast material, ideally with antibiotic to avoid causing a uti. Subject can hopefully urinate when bladder is full. Study demonstrates bladder + urethral abnormalities such as bladder reflux, outpouching diverticula, +voiding dynamics. ...Read more
Xray of bladder and: Urethra. Performed by passage of small catheter into bladder which is filled urographic contrast medium (like a dye) until it is full. Subject then urinates and entire study is monitored by xray fluoroscopy. Will demonstrate bladder reflux or diverticula or any urethral abnormalities. ...Read more
Lower UT X-Ray: Voiding cysto-urethrogram or VCUG is an xray study of bladder and urethra. Performed by instilling radio-opaque contrast medium, via a small caliber catheter, into the bladder. Subject then empties their bladder as the catheter is removed or around the catheter. Study is monitored by fluoroscopy. Anatomy of bladder and urethra, as well as ureter if reflux present, is demonstrated. ...Read more
Usually a pediatric urologist
not usually ordered on adult pts. ...Read more
Same day: Or day after.Get a more detailed answer ›
Catheterized for a VCUG yesterday. I've been having bleeding & sharp pain w/ urination that feels like I'm urinating glass or knives. What do I do now?
It's a relatively: Common procedure so try not to be nervous. Voiding cystourethrogram is a technique for watching a person's urethra and urinary bladder while the person urinates. The technique consists of catheterizing the patient in order to fill the bladder with contrast. Under fluoroscopy (real time x-rays) the radiologist watches the contrast enter the bladder. ...Read more
Two Studies: Vcug (voiding cystourethrogram) is a study in which the bladder is filled with contrast and then voiding is observed under realtime xray (fluoroscopy). Vcug can detect abnormalities including urine reflux up the ureters and bladder diverticula. Renal ultrasound is also often obtained to determine if the kidneys appear healthy and if there is hydronephrosis or obstruction to the flow of urine. ...Read more
Maybe.: There may be minimal discomfort when the catheter is inserted. As with all procedures for which there may be discomfort/pain, the degree/intensity depends upon the patients' pain threshhold, and in this case how easily the catheter can be inserted through the urethra into the bladder. ...Read more
More uncomfortable: Than painful. Involves passage of a small caliber catheter via urethra into bladder. Bladder will then be filled with xray contrast (dye). She will be asked to urinate when her bladder is full and the study will be monitored by fluoroscopy. Hopefully staff will let you hold her hand whilst catheter is passed and during study. Not as bad as many parents think it will be. Good luck. ...Read more
Vcug is done under fluoroscopy (x-ray) to visualize if any significant urine backflow from bladder to ureter to kidney while voiding, usually for children with recurrent uti.
It's done by injecting contrast (dye) to fill the bladder through a catheter and then take x-ray while voiding but at the time of no uti. For detailing, ask attending radiologist or urologist.
Best wish. .. Always.
Best... ...Read more
Okay, but...: There is no reason what no to do VCUG with iodine contrast. It is a common practice to do retrograde pyelogram (injecting iodine contrast to ureter ; kidney through a tube in cystoscope). So it's okay to do VCUG as long as not done at the time having active infection and inflammation. For detail? Ask radiologist. But note: few radiologist would not take any responsibility just like few patients. ...Read more
Fever?: Without a fever of greater than 101.5 degrees, most urologist do not recommend a vcug. At 8 years old, she would be better served with a dmsa kidney scan if she is getting febrile utis. This would determine whether any other testing or treatment was necessary. There are different opinions on this however, and this is a constant debate in the field of urology. ...Read more
6y/o has spells with symptoms of UTI positive urine dips but cultures neg vcug and ultra sound normal what can cause symptoms on & off for 2 years?
Multifactorial: It appears that you have been fully investigated. Given your statement, one has to think of other causes than bacterial infection. The individuals with tendency to allergy, generally food, animals, spices, and hives can manifest allergic cystitis. Keep a careful note of these things. ...Read more
Here are some...: A test like VCUG is what you need as professionally judged, but, of course, not what you like, because nothing is free of its related price, that is, its expected related suffering. Yet, the examiner doctors will use their skill + local anesthetics to minimize physical discomfort after explaining the related life reality to you. Together, its related hurting will be minimized. Best wish to health. ...Read more
If dosed correctly: Valium itself is not used frequently for such procedures, but it can be. Such drugs are safe in the hands of a trained physician giving a weight based dose. It is possible that they are giving another drug similar to valium, since the effects of Valium are long, and a VCUG usually doesn't require that long a period of sedation. ...Read more
Should I get a vcug for my 2yr old daughter after first UTI at 24mths? Dr wants ultrasound & vcug
Yes: Current recommendations for the work up of a UTI for young children up to 2 years includes a renal ultrasound as well as a vcug. Other factors may influence this decision: fever with uti, gender (boys of any age require work up), recurrent uti's, urination problems, growth problems, high blood pressure and family history of kidney problems. ...Read more
For a vcug test when I am done the test do I have to pee on the table because when my bladder is full its hard to move and I pee a little.?
Here are...: Vcug is done to radiographically show if there is urine back-flow up to ureters/kidneys at voiding and / or any congenital blockage in the urethra, especially in prostate urethra. As to how peeing goes, the patient may not pee well simply from awkward lying position or indeed having blockage in urethra. So, doc involved should be able to explain either condition; ask and talk with doc. Best wish.. ...Read more