A comparison of patient and parental experiences and diagnostic quality of suprapubic versus transurethral voiding cystourethrogram in children

Brandt, Maximilian Peter; Goller, Julia; Staatz, Gundula; Großmann, Allegra; Fischer, Nikita Dhruva; Haferkamp, Axel; Stein, Raimund; Schröder, Annette

doi:10.23736/s2724-5276.22.06824-0

Cited by 1 publication

(2 citation statements)

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“…A recent study by Brandt et al evaluated the experience of VCUG in 417 families in terms of children’s anxiety during the VCUG procedure, which was lower when SPA was performed instead of TUC, which contrasted with higher parental anxiety before SPA [ 14 ]. They reported better diagnostic quality using SPA, a finding we cannot confirm in our study.…”

Section: Discussionmentioning

confidence: 99%

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Suprapubic and Transurethral Bladder Access for Voiding Cystourethrography in Pediatric Male Patients

Schlötelburg,

Benoit,

Kasper

et al. 2024

Pediatric Reports

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Purpose: To compare suprapubic access (SPA) and transurethral catheterization (TUC) in voiding cystourethrogram (VCUG). Methods: Retrospective single-center evaluation of 311 VCUG performed in male patients under 12 years of age. Two study groups were built based on the bladder access method. TUC was performed in 213 patients, whereas 98 received SPA. The groups were compared regarding the procedural switch rate, the complication rate, radiation parameters, the amount of contrast media applied and the examination quality. Complications were graded in minor (contrast leakage, premature termination of the examination) and major (fever, urinary tract infection, bladder perforation). Fluoroscopy time and radiation parameters were compared. Examination quality was assessed based on the satisfactory acquisition of fluoroscopic images using a four-point Likert scale. Results: In 9% of the SPA examinations a method switch to TUC was necessary. The minor complication rate was 1.9% for TUC and 35.7% for SPA (p < 0.001). The major complication rate was 0.9% for TUC and 2% for SPA (p > 0.05). Mean fluoroscopy time and radiation dose were significantly lower in TUC (TUC, 26 ± 19 s, 0.6 ± 1.2 µGy·m2; SPA, 38 ± 33 s, 1.7 ± 2.9 µGy·m2; p = 0.01/0.001). There was no significant difference regarding the amount of contrast media applied (TUC, 62 ± 40 mL; SPA, 66 ± 41 mL; p > 0.05) and the examination quality with full diagnostic quality achieved in 88% of TUC and 89% of SPA examinations (p > 0.05). Conclusions: As TUC provides significantly lower radiation exposure and less periprocedural complications, it should be the primary bladder access route for VCUG in pediatric male patients.

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Section: Discussionmentioning

confidence: 99%

“…Generally, there are two options for contrast agent application into the patient’s bladder: transurethral catheterization (TUC) and suprapubic bladder access (SPA). The AAP recommends a sterile transurethral catheterization for a standardized VCUG procedure whereas other authors favor suprapubic puncture [ 11 , 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%