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
 CONTRA
INDICATION
INDICATION

Urethral Stricture Untreated UTI

Hypersensitivity to
Urinary Retention
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.