Diagnostic Performance of PIC Cystogram vs VCUG in Children

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 18
SponsorTarik Emre Sener

About this trial

The goal of this interventional diagnostic clinical trial is to evaluate and compare the diagnostic effectiveness of PIC cystography and voiding cystourethrography (VCUG) for the detection of vesicoureteral reflux (VUR) in children undergoing endoscopic procedures, including those who previously underwent VCUG for urinary tract infection (UTI) or other indications, as well as children who did not require VCUG.

The main questions it aims to answer are:

Does PIC cystography detect VUR at a rate comparable to VCUG?

How well do PIC cystography and VCUG correlate in identifying low-grade versus high-grade VUR?

Researchers will compare PIC cystography findings with prior VCUG results to determine agreement between the two diagnostic methods and their ability to detect clinically relevant reflux.

Participants will:

Undergo PIC cystography performed during endoscopic surgery

Have contrast instilled near each ureteral orifice under fluoroscopic monitoring

Be evaluated for the presence and grade of vesicoureteral reflux

Eligibility criteria

Qualifiers

Children aged 0-18 years

Undergoing endoscopic urological surgery

With or without a prior VCUG performed for urinary tract infection or other clinical indications

Availability of VCUG results for participants who previously underwent VCUG

Disqualifiers

History of previous ureteral reimplantation or anti-reflux surgery

Known neurogenic bladder or severe lower urinary tract dysfunction

Active urinary tract infection at the time of endoscopic procedure

Inability to undergo fluoroscopic imaging (e.g., contrast allergy)

Trial design

Treatments tested in this trial

  • PIC cystography
  • VCUG

Treatment groups

60 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Tarik Emre Sener

Lead sponsor

Marmara University

Sponsor institution