Abstract

MOENNE B, KARLA et al. Uretrocystography in Children: Parents' Perception. Rev. chil. pediatr. [online]. 2010, vol.81, n.4, pp. 333-338. ISSN 0370-4106.  doi: 10.4067/S0370-41062010000400007.

Voiding cystourethrography (VCUG) has been usually considered as a painful and badly tolerated procedure in children. This opinion is not agreed with local experience of the authors. Objective: To evaluate the parent's perception about VCUG in children before and after the procedure. Methods: In 2009, parents of children who carne to Radiology Department for a VCUG completed an anonymous survey, including age and sex of their children, physician referent specialty, information received about the exam, expectation before and opinion after the procedure. Results: During 12 months 86 surveys were evaluated; patient's age was ranged between 1 month to 8 years with 52.3%> (45) girls and 47.7%> (41) males. Patients were referred from general pediatric in 59%o or nephrology practice in 33%>; 20%> of the patients did not receive any information about the procedure before. About the expectation of VCUG, previous the exam, parents considered the examination as a pediatrician visit in 2.3%, uncomfortable in 26.7%>, a little painful in 16.3%, painful in 21% and aggressive or terrible in 33.7%o. After the examination, parents' opinion was: 24.4%> as a pediatrician visit, 45.3%> uncomfortable, 22.1%o a little painful, 4.7%> painful and 3.5%> aggressive or terrible. The global parents' perception about VCUG after the exam improved in 66%> cases, did not change in 29%> and went worse in 5%. Conclusion: Parent's perception about VCUG in children significantly improves after the procedure; in 91.8%> the examination was considered uncomfortable or only a little painful.

Keywords : Cystography; urinary catherization; children.