Who orders a voiding cystourethrogram when vesicoureteral reflux is suspected?

Who orders a voiding cystourethrogram when vesicoureteral reflux is suspected?

• A. Primary care pediatrician
• B. Nurse practitioner
• C. Radiologist
• D. Urologist

Answer: (D)

Voiding cystourethrogram is the test used to confirm vesicoureteral reflux and to grade its severity by imaging urine flow during filling and voiding. The clinician who typically orders this study in a child with suspected reflux is the pediatric urologist, because they manage reflux workups and decide whether imaging is needed and how the results will guide treatment, including possible surgical planning. The radiology team performs the actual imaging and interpretation, but the order comes from the physician responsible for reflux management. A primary care pediatrician may initiate the referral, but the ordering step for VCUG is commonly placed by the urologist.

Voiding cystourethrogram is the test used to confirm vesicoureteral reflux and to grade its severity by imaging urine flow during filling and voiding. The clinician who typically orders this study in a child with suspected reflux is the pediatric urologist, because they manage reflux workups and decide whether imaging is needed and how the results will guide treatment, including possible surgical planning. The radiology team performs the actual imaging and interpretation, but the order comes from the physician responsible for reflux management. A primary care pediatrician may initiate the referral, but the ordering step for VCUG is commonly placed by the urologist.