CYSTOMETRIC NUCLEAR CYSTOGRAM

Vesicoureteral reflux is a common clinical problem that is monitored by interval nuclear cystography. Of the children having nuclear cystograms, 40% also had voiding abnormalities, including incontinence (damp pants), urgency and infrequent micturition. These symptoms were evaluated by recording the intravesical pressure during the nuclear cystogram. This combined examination, the cystometric nuclear cystogram, was done on 46 children. An abnormal cystometrogram was found in 61% of the children with a voiding abnormality and helped to establish a basis for successful therapy. The cystometric nuclear cystogram aids in the diagnosis and rational therapy of childhood voiding abnormalities. It is a practical method to obtain a cystometrogram in children with voiding abnormalities who are being evaluated for ureteral reflux and it has facilitated the management of childhood ureteral reflux.