BVCUG (also known as RUG-VCUG) is a radiographic technique used to image the urethra and bladder. Contrast media is inserted into the bladder and urethra to show strictures. It provides an excellent assessment of the posterior urethra, bladder neck, and prostatic urethra. The procedure involves cystography to distend the bladder followed by urethrography where contrast is injected into the urethra under fluoroscopy. Patient preparation includes informed consent and the procedure is performed using x-ray, contrast, and positioning the patient in oblique positions.
BVCUG (also known as RUG-VCUG) is a radiographic technique used to image the urethra and bladder. Contrast media is inserted into the bladder and urethra to show strictures. It provides an excellent assessment of the posterior urethra, bladder neck, and prostatic urethra. The procedure involves cystography to distend the bladder followed by urethrography where contrast is injected into the urethra under fluoroscopy. Patient preparation includes informed consent and the procedure is performed using x-ray, contrast, and positioning the patient in oblique positions.
Original Description:
standard operating procedure bipolar voiding cystourethrography
BVCUG (also known as RUG-VCUG) is a radiographic technique used to image the urethra and bladder. Contrast media is inserted into the bladder and urethra to show strictures. It provides an excellent assessment of the posterior urethra, bladder neck, and prostatic urethra. The procedure involves cystography to distend the bladder followed by urethrography where contrast is injected into the urethra under fluoroscopy. Patient preparation includes informed consent and the procedure is performed using x-ray, contrast, and positioning the patient in oblique positions.
BVCUG (also known as RUG-VCUG) is a radiographic technique used to image the urethra and bladder. Contrast media is inserted into the bladder and urethra to show strictures. It provides an excellent assessment of the posterior urethra, bladder neck, and prostatic urethra. The procedure involves cystography to distend the bladder followed by urethrography where contrast is injected into the urethra under fluoroscopy. Patient preparation includes informed consent and the procedure is performed using x-ray, contrast, and positioning the patient in oblique positions.
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BVCUG
Yulian Salis Patriawan
Definition
Also Known as Retrograde Urethrogram and
Voiding Cystourethrogram (RUG VCUG) One Radiographic technique using positive contrast media that is inserted to Bladder and urethra to show how long the stricture of the urethra. Imaging modality of choice for imaging the urethra INDICATION CONTRA INDICATION
Urethral Stricture Untreated UTI
Urinary Retention Hypersensitivity to contrast media
Patient Preparation Communication, Information and Education to the patient and Family about the examination. Informed Consent is a must. Tools X-Ray Cassete and Film Contrast ( Non Ionic ) Aquabides Spuit Hand Scoen Alcohol Pads Canule 1. Cystography VCUG Provide excellent assesment of the posterior urethra Bladder neck and prostatic urethra are distended during VCUG Can Allow for better proximal asssesment of an obliterated or near obliterated stricture Can be administered following intravenous contrast or simply by suprapubic catheter Contrast media (water soluble non ionic) is diluted with aquades (1:4) 200 cc. Position : Oblique Oblique : Object Position : Right Rotation (45 degree) Light Projection : Vertical Right Posterior Oblique 2. Urethrography External meatus is prepared in standard sterile fashion Using 8 Fr Folley catheter ( should be flushed to eleminate the introduction of air buble) Oblique : Object Position : Supine 45 degree oblique position (leg abducted and knee flexed), Penis shuld be placed laterally over the proximal thight with moderate traction Light Projection : Vertical If the patient is not positioned suficiently oblique, the bulbous urethra will appear foreshortened The 20 30 cc of 50 % iodinated contrast material is injected under fluoroscopic guidance The most appropriate way to evaluate anterior urethra Right Posterior Oblique THANK YOU Refference 1. Maciejewski; Rourke. Imaging of Urethral Stricture Disease. 2015. 2. T.M. Walshe., C. Donagh. Urethrography : Technique, Anatomy and Pathology. 2011. Eurpoean Society of Radiology.