Beruflich Dokumente
Kultur Dokumente
Genitourinary System
ANATOMY
ANATOMY
ANATOMY
IMAGING MODALITIES
Plain abdominal x ray
BNO-IVP
Retrograde
uretrography/cystography/urethrocystog
raphy
Bipolar Urethrocystography
Voiding Cystourethrography
Ultrasonography
CT Scan
MRI
Nuclear Imaging
Hysterosalphingography
Retrograde
uretrography/cystogr
aphy/urethrocystogra
phy
Retrograde Urethrography
Retrograde Urethrography
Indication
Urethral rupture
Urethral stricture
Congenital anomaly
Urethral fistule
Urethral diverticle
Contraindication
Urethral obstruction
Hematuria
Recurrent urinary
tract infection
Slow urinary flow
Urinary mass
Retrograde Urethrography
IMAGING IN RGU
Pre-contrast AP Film
Right-anterior Oblique
Left-anterior Oblique
Retrograde Cystography
Retrograde Cystography
Indication
Recurrent urinary
tract infection
Suspicion of urinary
bladder rupture
Stone
Mass
Inflammation
Diverticle
Fistule
Incontinentia
Hematuria
Measure the urinary
volume post
micturition
Assess the integrity
of the anastomosis
or suture post
operative
Retrograde Cystography
Contraindication
Pregnancy
Urethral rupture (contraindication to
the urinary catheter insertion)
Retrograde Cystography
Retrograde
Urethrocystography
Bipolar
Urethrocystography
Bipolar Urethrocystography
Bipolar Urethrocystography
Indication
Contraindication
Voiding
Cystourethrogram
(VCUG)
Voiding Cystourethrogram
(VCUG)
To demonstrates the
lower urinary tract
helps to detect the
existence of any
vesico-ureteral reflux
to detect bladder
pathology
to detect congenital
or acquired
anomalies of bladder
outflow tract
Ind
icat
ion
s
VC
UG
Chil
dre
n
Adu
lts
PROCEDURE
Voiding Cystourethrogram
(VCUG)
Adult Male:
The voiding study can be modified by
cystourethrography
Scout Film
Filli
ng
Ph
ase
Voiding Phase
Voiding Phase
Post-void Film
Vesicoureteral reflux
(VUR)
VCUG
demonstrating
bilateral Grade III
vesicoureteral
reflux
Voiding
cystourethrogram
demonstrates reflux into
both kidneys, with
dilatation of the ureters
and renal collecting
system.
The calyxes are
distended and blunted.
This case illustrates
typical bilateral grade
V vesicoureteric
reflux