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 Vol. 11 No. 6, June 2004
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AAP Grand Rounds 11:69-70 (2004)
© 2004 American Academy of Pediatrics

RADIOLOGY

Making Cystourethrography Less Stressful

Source: Agrawalla S, Pearce R, Godman TR. How to perform the perfect voiding cystourethrogram. Pediatr Radiol. 2004;34:114–119.[Medline]

The first 20% of the full text of this article appears below.

Cystourethrography is frequently part of a workup for underlying abnormalities including vesicoureteric reflux (VUR), congenital renal anomalies, bladder neck trauma, urolithiasis, and unstable bladder. Unfortunately, the procedure can be uncomfortable and cause high anxiety in both patients and parents. The authors from John Radcliffe Hospital, Oxford, United Kingdom, recommend techniques they developed, based on experience and current literature, to perform the exam to maximum advantage and to minimize patient discomfort.

1. Patient and parent preparation
Reduction in patient anxiety can be achieved by preparing the patient and parents for the procedure either through a play demonstration or informational booklet. The authors state that children whose parents withheld certain aspects of the procedure experienced more distress than children whose . . . [Full Text of this Article]

2. Contrast medium
3. Prophylactic treatment
4. Cyclical voiding
5. Potential radiation
6. Urethral views with the catheter in place
7. Catheter specimens of urine
8. Complications
Beverly P. Wood, MD, FAAP
Radiation, Keck School of Medicine, University of Southern California, Los Angeles, CA