Parent & Patient Information System 06/09/2015 Page20 / 51 urinary system happens which is called ‘vesicoureteral reflux (VUR)’. Presence of recurrent urinary tract infections (UTI) is one of the most frequent results of this disease. VCUG is mostly performed in children with suspicion of VUR. Moreover, obstructions in the bladder outlet, incomplete emptying of bladder, voiding with high pressures are the other probable causes of VUR. Besides presence of VUR, VCUG also demonstrates the anatomic abnormalities and gives clues about the functional problems regarding the bladder and urethra. 2.4.1 Preparing the child for the test Since the VCUG is a test which is done under X-ray, metal objects may affect the quality of the test. The child’s clothes should not carry metal buttons or zips. The test carries the risk of propagating an infection in bladder to upper system. Therefore, it is not performed when an active UTI is present and absence of UTI should be documented by a urinary culture before the test. Parents should know that informing the child prior to the test will help to be relaxed, make them feel in safety and to perform the procedure under more comfortable conditions. Also, mothers with suspicion of pregnancy or who are pregnant should be aware of radiation exposure. 2.4.2 Performing the test The technician may ask you for helping during the placement and immobilization of child to the examination table. A plain film is taken before the catheterization. Then, the external genitalia of the child is rinsed with a special solution to get a microorganism free area before catheterization. A catheter (sterile, thin and flexible tube) is inserted through urethra into the bladder. The outer tip of the catheter is connected to a packet containing the mixture of physiologic serum and contrast material. The contrast material is let dripping under natural
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