ESPN 51th Annual Meeting

ESPN 2018


 
The complications including urinary tract infection after voiding cystouretrography
ENGIN MELEK 1 AYSUN KARABAY BAYAZIT 1 ALÄ° ANARAT 1

1- CUKUROVA UNIVERSITY
 
Introduction:

 The voiding cystourethrography (VCUG) is a commonly performed procedure in children for evaluation of urinary tract problems. Various complications including urinary tract infection (UTI) can be seen related to VCUG. Our aim was to determine the post-VCUG complications including symptomatic UTIs in children undergoing VCUG.  

Material and methods:

 A total of 207 patients were included in this study. Children and their parents were asked to complete a questionnaire for the evaluation of the nephrourologic complaints. 

Results:

 After VCUG, burning sensation (43.5%), pain (38.2%) and strain (24.6%) while urinating, macroscopic hematuria (5.8%), malodorous urine (5.3%) and fever (4.3%) were seen. A total of 13 patients (6.3%) developed a UTI. The existence of vesicoureteral reflux (VUR), underlying etiology and gender did not affect the likelihood of UTI. The fever and macroscopic hematuria were risk factors for the development of a UTI after VCUG (p<0.05).

Conclusions:

Although many different symptoms were seen related to the VCUG procedure, the majority of these symptoms resolved within the first 48 hours following the procedure. However, the reddish urine and/or fever could be a clue for the development of a UTI. So, we recommend that patients with these symptoms should be monitored closely for the development of a UTI.