To determine the value of CT in the diagnosis of bladder and posterior urethral injuries, we retrospectively evaluated the CT and urethrocystographic findings in 33 trauma patients with suspected injuries of the lower urinary tract who had both studies in their initial evaluation. In 26 (79%) of 33 patients, results of both examinations were normal. Seven (21%) of 33 patients had bladder injuri...

A 70-year-old man presented for evaluation of recurrent urinary tract infection. He had history of hypertension and had undergone suprapubic prostatectomy 8 years ago for enlarged obstructive prostate. Digital rectal examination found a stony irregular prostate and urine culture grew Escherichia Coli that was susceptible to Cephalosporines. As part of the evaluation, a plain radiograph was perf...

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...

BACKGROUND Retrograde urethrogram and voiding cystourethrogram are used to define length and location of urethral stricture prior to surgery. We used a single dose of silodosin prior to VCUG to relax the bladder neck and achieve visualization of posterior urethra. OBJECTIVES To evaluate the efficacy of silodosin in visualization of posterior urethra during VCUG, and to compare the findings wi...

In this issue of Pediatrics, Nelson and colleagues present a retrospective cross-sectional study of children ,60 months of age who underwent renal and bladder ultrasound (RBUS) and voiding cystourethrogram (VCUG). Like other studies of this topic, this is a retrospective analysis of data captured through routine care, but it is probably the largest and most well-conducted study of its kind. The...

BACKGROUND Infants with neonatal hydronephrosis and a normal voiding cystourethrogram (VCUG) are presumed to have ureteropelvic junction obstruction (UPJO). There is little current information about the natural history of children with hydronephrosis or clinical factors that predict resolution of the radiological abnormality. OBJECTIVE To determine the time course until spontaneous resolution...

Accurate imaging of urethral strictures is critical for preoperative staging and planning of reconstruction. The current gold standard, retrograde urethrography (RUG), allows for accurate diagnosis, staging, and delineation of urethral strictures, and remains a cornerstone in the management of urethral stricture disease. In complex situations, the RUG can be combined with voiding cystourethrogr...

OBJECTIVE Over the past 20 years endoscopic treatment (ET) of vesicoureteral reflux (VUR) has changed the algorithm of reflux management. We describe a modification of the standard subureteral injection (STING) that has contributed to the increased success rate of this procedure. METHODS Between January 2006 and December 2006 192 children, 5 months to 10 years old (mean age 2.8 years) underwe...

Most cases of daytime incontinence in prepubertal girls have a functional aetiology, although a neurogenic dysfunction must always be ruled out. Vaginal reflux (VR) or intravaginal urination has been recognised as a cause of urinary incontinence with post void dribbling in prepubertal girls. The reverse flow of urine into the vagina can sometimes be perceived in a retrograde voiding cystourethr...

OBJECTIVES To assess the feasibility and results of the endoscopic treatment of vesicoureteral reflux (VUR) after a failed ureteral reimplantation. METHODS From January 1996 to October 2006, 28 patients underwent endoscopic treatment for VUR grade II to V persisting after open ureteral reimplantation. VUR was bilateral in 11 patients, for a total of 39 ureteral units (UU) treated. The endosco...