Pediatric cystogram: are we considering age-adjusted bladder capacity?

“Generally, bladders tended to be overfilled with 32% more volume in mL than the expected age-adjusted bladder capacity.”

“Bladders are filled above the estimated age-adjusted capacity in mL at the following rates: 32% in the whole group and 64% in infants undergoing VCUG. It raises concern of possible bladder rupture in this age group. Furthermore, this may lead to overgrading and over diagnosing of [vesicoureteral] reflux.”