ESPN 51th Annual Meeting

ESPN 2018

The factors that cause fear and stress in parents during voiding cystourethrographygraphy


 The voiding cystourethrography (VCUG) which is a commonly performed procedure in children for evaluation of urinary tract problems can cause psychological stress in parents. This also increases the existing stress of children. Our aim was to determine the factors that cause stress in parents of children undergoing VCUG.   

Material and methods:

A total of 200 parents having chidren who were recruited for a VCUG in Pediatric Nephrology Clinic were included in this prospective study. All patients were catheterized in the Pediatric Nephrology Clinic and all catheterizations were performed by an experienced Pediatric Nephrologist. The catheter was removed immediately after the procedure. A questionnaire was prepared by speaking face to face with 10 parents before the study. Parents were asked to complete this questionnaire prior to the VCUG procedure as an assessment of factors that cause stress for the parents.  


 All parents completed questionnaire before VCUG. Out of 200 children, 59(30%) were males and 141(70.5%) were females. The parents of 82(41%) children were afraid that children would be exposed to radiation. The parents of 39 females (39/141-27.7%) expressed fear that the hymen of their girls would be damaged. Eighty-one parents (40.5%) expressed that their children would be hurt during the catheterization.We found that the concern level of families increased in correlation whit an increase in education level (p=0.003).


As a result of the concerns of families about VCUG, families bring their children to different doctors to receive multiple medical opinions, which in turn, causes confusion in these families and delays the treatment of patients. Also, the behaviors of parents that reflect their concerns further increase the already existing stress in children. To prevent the factors that cause stress in both patients and their parents, patients should be given detailed information about “what is the purpose of this procedure” and “how the procedure will be done”. In addition, patients and their parents must be allowed and encouraged to ask questions regarding their concerns.