Indications for MCUG or Urogenitogram at PCH

After discussion with urology and/or nephrology

1. Assessment of urinary tract of newborns and infants with spinal dysraphism and spinal anomalies.

2. Assessment of newborns and infants with anorectal malformation, including cloacal anomalies.

3. Assessment of newborn or infant with variations in sex characteristics.

4. Assessment of newborns and infants with antenatally or postnatally detected Congenital Anomalies of the Kidneys and Urinary Tract (CAKUT), specifically those with:

a. Suspicion of bladder outlet obstruction in a male infant - with ≥ 1 of:

i. Thickened bladder on antenatal or postnatal USS
ii. Keyhole bladder on USS
iii. Bilateral hydronephrosis >10mm in male infant on USS
iv. Bilateral hydroureter on USS
v. Clinical concerns about poor urinary stream, not passing urine, palpable bladder

b. Consider and discuss with a urologist or nephrologist newborn or infant with hydroureter >7mm on USS, unilateral or bilateral.

c. Consider and discuss with a urologist or nephrologist newborn or infant with complicated duplex systems - with ≥ 1 of:

i. Upper or lower moiety hydronephrosis
ii. Hydroureter
iii. Ureterocele in bladder

5. Assessment of newborn or infant after culture positive febrile urinary tract infection (UTI) in the below circumstances:

a. CAKUT in one of the categories defined above
b. Recurrent febrile UTI prior to one year of age
c. Recurrent pyelonephritis requiring admission for intravenous antibiotics
d. Recurrent pyelonephritis after the treatment of underlying bowel and bladder dysfunction
e. Recurrent UTI with atypical organisms