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BVCUG: Urethral Imaging Techniques

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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288 views13 pages

BVCUG: Urethral Imaging Techniques

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.

Uploaded by

yulianpatriawan
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
  • Introduction
  • Indication and Contraindication
  • Patient Preparation
  • Tools
  • Cystography
  • Urethrography
  • References

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.

BVCUG Yulian Salis Patriawan
Definition Also Known as “ Retrograde Urethrogram and Voiding Cystourethrogram “ (RUG – VCUG) One Radiographic technique u
INDICATION Urethral Stricture Urinary Retention CONTRA INDICATION Untreated UTI Hypersensitivity to contrast media
Patient Preparation Communication, Information and Education to the patient and Family about the examination. Informed Co
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
Contrast media (water soluble non ionic) is diluted with aquades (1:4) 200 cc. Position : Oblique Oblique : Object Pos
Right Posterior Oblique
2. Urethrography External meatus is prepared in standard sterile fashion Using 8 Fr Folley catheter ( should be flushed to
If the patient is not positioned suficiently oblique, the bulbous urethra will appear foreshortened The 20 – 30 cc of 50

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