MCUG / Cystogram / Urethrogram

Why is your doctor requesting this procedure?

The examination is performed if you have recurrent urinary tract infections, blood in the urine, or any bladder trauma.   For assessment of urinary incontinence or difficulties with bladder emptying.  To visualise the bladder, contrast is injected via a catheter. This examination takes approximately 1 hour.

What is an MCUG (micturating cysto-urethrogram) and urethrogram

MCUGs and urethrograms are radiologic procedures to examine the bladder and Urethra for function and morphology. These are dynamic procedures; examinations are done while urinating a special fluid if the patient's condition allows.

What preparation is needed?

No special preparation is required for this examination.  You only need to empty your bladder. If you are a woman of childbearing age and there is a possibility that you may be pregnant, be sure to inform us before you start the preparation.

What happens during the examination?

On your arrival, the radiographer will run through a description of the procedure with you, and you will be asked to undress everything and put on a gown.  You will then be asked to empty your bladder and then lie down on the x-ray table with the x-ray equipment above you.  A control x-ray will be taken of your pelvis area to ensure there are no foreign bodies or calcifications in that area. The radiographer or the radiologist will insert a catheter into your bladder.  Saline and contrast will be inserted directly into the bladder via a catheter until you feel that your bladder is completely full, and then x-rays will be taken.  You may be asked to either empty your bladder in the bathroom or empty it while imaging is taking place.

What are the possible complications?

Urinary tract infection, bleeding, discomfort during urination, allergic reaction to contrast media.

What happens after the procedure?

You will be able to commence your day normally. In the case of children, they may return to school, etc., as appropriate.

What about the result?

Once the examination is complete, the radiologist will compare the X-rays to previous imaging of the same area. Then, the radiologist will forward a report of the findings to your doctor. Please contact your doctor for the results.