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Digital pulsed fluoroscopy in our two suites provides the safest of dosage in the various studies done with this technique. Fluoroscopic time and dosage is recorded and transcribed for each patient. The exams performed in our patients include gastro- intestinal studies (e.g. upper GI series, etc.) genito-urinary studies (voiding cystograms) and a variety of other specialized studies including catheter placements into the gastro-intestinal tractPlease select from the choices below to read more about each of these examinations Voiding cystogram exams are performed as a method of evaluating the anatomy of the drainage system of the urinary tract, namely the ureters and bladder. If a child has suffered a urinary tract infection (UTI), standard practice results in an exam to determine if urine in the bladder escapes into the drainage system of the urinary tract, the ureters and pelvi-calyceal system, the uppermost portion of the drainage system of the kidneys. If extensive, there is a risk of kidney damage during growth and development. Images taken while "dye" is flowing into the bladder using gravity may demonstrate the reversal of flow upward towards the kidneys. This is termed "vesico-ureteral reflux" or VUR If severe enough to enlarge the drainage system or extend into kidney substance, (intra-renal), surgery is usually indicated. Typically, any demonstration of "reflux" will result in long-term low-dose antibiotic therapy to maintain a sterile urine environment in the bladder. The study usually requires 20 to 30 minutes to complete and your doctor will receive a faxed report by the end of the day. Here is an example of vesico-ureteral reflux:
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