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S5-11
(P)
COMPARISON OF SUPRAPUBIC PUNTCURE AND TRANSURETHRAL
CATHETERIZATION FOR VCUG
Allegra GROßMANN
1
, Julia GOELLER
1
, Gundula STAATZ
2
, Rolf BEETZ
3
and Raimund STEIN
1
1) Universitaetsmedizin Mainz, Urology and paediatric urology, Mainz, GERMANY - 2) Universitaetsmedizin Mainz,
Radiology, Division of Pediatric Radiology, Mainz, GERMANY - 3) Universitaetsmedizin Mainz, Department of Pediatrics,
Division of Pediatric Nephrology, Mainz, GERMANY
PURPOSE
A VCUG can be performed either through transurethral catheterization (TUC) or suprapubic puncture (SPP). This study
intends to compare both methods regarding anxiety, pain and complications in patients and parents.
MATERIAL AND METHODS
801 families whose child underwent a VCUG between 2006 and 2011 were asked to answer a self-designed
questionnaire. Visual analogue scale (0-100) was used to rate pain and anxiety.
RESULTS
417 (52%) families responded, 204 (49%) girls and 213 (51%) boys between 0 and 157 (median 34) month could be
included. 86 (21%) received the VCUG via TUC and 314 (78%) via SPP.
Anxiety level for the child before the VCUG was 40.1 and 43.5 for the parents. Median anxiety level before investigation
was even in both groups (SPP: 45.35; TUC: 42), whereas younger children seemed to be less anxious than older ones
(0-2y: 35.16; 3-6y: 57.74; 6-11y: 57.79; >12y: 59.98) and boys less (39.84) than girls (49.54).
Correlation of pain level (39.23) between TUC (35.55) and SPP (40.13), boys (43.17) and girls (35.54) or differentiated
by age (0-2: 40.63; 3-6: 39.19; 6-11: 34.58; >12: 44.38) did not show a significant difference.
Compared to a vaccination a VCUG was rated more unpleasant or a lot more unpleasant by 61% of patients
CONCLUSIONS
As no significant difference could be shown between both methods, method should be chosen according to the individual
case and intention of the investigation.