Abstract:
Micturating cysto Uretrogram (MCUG) or voiding cysto urethragram (VCUG) is a radiological fluoroscopic examination for the lower urinary tract to diagnose wide range of child hood urinary tract disease. There are many factors controlled successful of the examination result, one of these factors the contrast media dose and it’s relationship, the age of the patient and his bladder capacity. The study included 53 pediatric patients their age ranged between one month up to 15 years old (41) of them are male(ratio of 77%) while 12 are female (23%) from this random sample for (MCUG) exam the successful of procedure positive on 38 patient (72%), from 53 patient we applied the bladder capacity equation on 25 patient (48%), the result successful on (23) patient of ratio (92%) and we do not applied the equation on (28) patient and the result successful on (15) patient of ratio (53%).
The majority of cases in this study represent (4%)a primary congenital failure of the natural VUR cases (23%), U.T.I (42%), P.UV (20%) , C.R.D (9%) while Trauma represent (2%).
The main objective of the study to reduce the repition of the exam so decrease the radiation dose and decrease the price and over all good result.
Conclusion the Micturating Cystourethrogram (MCUG) is a tough and stressful examination for patients and their parents as well as the radiologists and pediatric radiology nurses. Even though, it is one of the most commonly used fluoroscopic procedures in pediatric radiology practice, there is no definite agreement as to the best way to perform it, considering that this examination results in the children receiving a high dose of radiation to the gonadal region. This review was undertaken to determine the best way to perform the MCUG in modern pediatric radiology practice.
