title: [Etiological work-up of complex voiding disorders (CVD) in boys; evaluation of the imaging strategy based on a retrospective study of 58 files].
abstract: The strategy of radiological investigations in males with severe voiding disorders has not been clearly established. To define the most effective strategy, a retrospective study of 58 files of boys investigated for severe voiding disorders (excluding neurogenic bladder) was performed. The following investigations were performed in this series: intravenous urography (IVU) completed by voiding cystourethrogram (VCUG) (41%), VCUG alone or associated with urinary ultrasound (30%), IVU alone (20.5%) ultrasound alone (1.5%) and ultrasound completed by VCUG or IVU (7%). When prescribed first, VCUG was always sufficient for accurate diagnosis; in contrast, a second investigation was usually necessary when IVU (66%) or ultrasound (80%) were performed first. The interpretability of the voiding urethrogram was also higher with VCUG (90%) than with IVU (66%); the sensitivity was 94% for VCUG and only 69% for IVU and 8% for ultrasound. This study confirms that VCUG combined with urinary ultrasound is the most reliable way to radiologically investigate male severe voiding disorders.
authors.affiliation: Service de Radio-diagnostic, Hôpital Saint-Joseph, Paris.
authors.forename: S
authors.initials: S
authors.lastname: Roux-Dessarps
authors.forename: H
authors.initials: H
authors.lastname: Lottmann
authors.forename: M
authors.initials: M
authors.lastname: Marichez
authors.forename: D
authors.initials: D
authors.lastname: Boisvieux
authors.forename: A
authors.initials: A
authors.lastname: Taieb
authors.forename: Y
authors.initials: Y
authors.lastname: Melin
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D014463:Ultrasonography; D014555:Urination Disorders / Q000000981:diagnostic imaging / Q000209:etiology*