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Table 3a. Indications for cystography

CYSTOGRAPHY

MCUG

DRC

IRC

Any boy in whom VUR diagnosis should be excluded. Any child with abnormal external genitalia
Any child with thick wall bladder.
Any child with abnormal US, with dilatation on US, after diuretic MAG3 and if ureter was dilated.

All girls under 3 years of age in whom VUR should be excluded e.g. UTI or prenatal diagnosis of hydroureteronephrosis or with abnormal 99mTc DMSA scan.
All boys under 3 years of age in whom VUR has been established on MCUG and in whom follow up is required.

Child who is toilet trained
(> 3 years old )
Child with abnormal 99mTc DI scan.
Child with abnormal US finding but no dilatation

 

Table 3b. Comparison between different techniques of cystography (After I Gordon )

MCUG

DIC

IRC

ANATOMY

+++

-

-

RADIATION BURDEN

+++

-

-

CATHETER

+

+

-

RENAL FUNCTION

-

-

++

BLADDER DYNAMICS

-

-

++

PHYSIOLOGICAL

-

-

++

AGE

all

all

>3 years of age

REFLUX

standard

+++

++/-

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