Monday, July 26, 2010

Zac and the VCUG

Zac had his VCUG last July 22nd at Riley's Hospital. I think I will just let Wikipedia explain what VCUG means:

In urology, a voiding cystourethrogram (VCUG), also micturating cystourethrogram (MCUG), is a technique for watching a person's urethra and urinary bladder while the person urinates (voids). The technique consists of catheterizing the person in order to fill the bladder with a radiopaque liquid (a "contrast" or "contrast agent", typically cystografin). Under fluoroscopy (real time x-rays) the radiologist watches the contrast enter the bladder and looks at the anatomy of the patient. If the contrast moves into the ureters and back into the kidneys, the radiologist makes the diagnosis of vesicoureteral reflux, and gives the degree of severity a score. The exam ends when the person voids on the table while the radiologist is watching under fluoroscopy. Consumption of fluid promotes exertion of contrast media after the procedure. It is important to watch the contrast during voiding, because this is when the bladder has the most pressure, and it is most likely this is when reflux will occur.

Kidney Reflux (vesicoureteral reflux) is diagnosed with an ultrasound and VCUG. Children who have chronic Urinary Tract Infections are given this test to determine the level of damage to the kidney.

Yes, they inserted catheter to Zac which made me almost cry. I held his arms and hubby held his legs because he was trying to fight while they were putting the catheter on. He cried in pain which made me and hubby upset. But we can't do anything because he needs to have this test to check his bladder :(

After waiting for almost an hour for the Urologist. He finally came and talked to me (hubby was outside the hospital getting coffee) in the room. He gave us a good news that Zac's bladder is clear, which means there was no reflux and his bladder is normal. But he wants to see the ultrasound pictures (which I already requested in the hospital today) of his kidneys to see on why his left kidney is enlarged. He said that according to the ultrasound impression of the radiologist. According to the urologist, there "might" be a blockage in the ureter which causes the enlargement of his left kidney. And again, his urologist said that as of now, we don't have to do anything because his hydronephrosis is in moderate condition which there is a possibility that it might resolve by itself when he gets a little bit bigger.

Tomorrow, I have to go to the hospital to sign up a release form for them to forward the ultrasound pics in CD to his urologist.

I am really praying hard that it will resolve by itself and I know that God is with us in this journey.

NOTE: The pic above is Zac wearing laboratory gown. That pic was taken before the VCUG.

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