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Cystography is an imaging test that can help diagnose problems in your bladder. It uses X-rays. They
may be X-ray pictures or fluoroscopy, a kind of X-ray "movie."
During cystography, the healthcare provider will inject insert a thin tube called a urinary catheter and
put contrast dye into your bladder. The contrast dye will let the healthcare provider see your bladder
more clearly. He or she will take X-rays of the bladder. Cystography is sometimes combined with other
procedures. For example, cystourethrography images the bladder and the urethra. The healthcare
provider may also use fluoroscopy to watch how the bladder empties while you urinate (voiding
cystourethrography). Cystography may show whether any urine backs up into the kidneys
(vesicoureteral reflux). Computerized tomography (CT) cystography is sometimes used following
trauma or recent surgery.
X-rays use a small amount of radiation to create images of your bones and internal organs. X-rays are
most often used to find bone or joint problems, or to check the heart and lungs. Cystography is one
type of X-ray.
Trauma to the bladder. The test will let your healthcare provider see if you have a tear in the
You are pregnant or think you may be pregnant. Radiation exposure during pregnancy may
lead to birth defects.
You are allergic to or sensitive to medicines, contrast dyes, local anesthesia, iodine, or latex
You have kidney failure or other kidney problems
You are at risk for a bladder infection because a thin tube (catheter) is put into your bladder during the
test. The catheter may also cause bleeding or hematuria.
Certain things can make the results of the test less accurate. These include:
You may have other risks depending on your specific health condition. Be sure to talk with your
provider about any concerns you have before the procedure.
Your healthcare provider will explain the procedure to you. Ask him or her any questions you
you specific instructions. Generally, this means no food after midnight and only clear liquids the
day of the test. You may be told to drink additional clear liquids the day before and day of the
procedure.
Tell your provider if you are pregnant or think you may be pregnant.
Tell your provider if you have had a reaction to any contrast dye, or if you are allergic to iodine.
Tell your provider if you are sensitive to or are allergic to any medicines, latex, tape, or
are taking blood-thinning medicine (anticoagulant), aspirin, or other medicines that affect blood
clotting. You may need to stop these medicines before the test.
You may be told to take a laxative the night before the test. Or you may be given an enema or
medicine to make you have a bowel movement the morning of the test.
Follow any other instructions your provider gives you to get ready.
You'll be asked to remove any clothing, jewelry, or other objects that might get in the way of
the test.
You may be asked to remove clothing. If so, you will be given a gown to wear.
You will be asked to empty your bladder before the test.
You will lie on your back on the X-ray table.
The healthcare provider will put a thin tube (catheter) into your bladder. He or she will use this
sure the he or she can see the urinary system. For men, the healthcare provider may put a lead
shield over the testes to protect the gonads from the X-rays.
The healthcare provider will inject the contrast dye into the bladder through the catheter. He or
she will clamp the catheter tubing to keep the dye from draining out of the bladder.
The healthcare provider will take X-rays while the dye is injected and afterward. You may be
asked to change position for different X-ray views of the urinary system.
If you are having a voiding cystography, the healthcare provider will remove the catheter and
you will be asked to urinate. The healthcare provider will take X-ray or fluoroscopy films while you
urinate. You may be allowed to sit or stand if you are not able to urinate while lying down.
If you are not having a voiding cystography, the healthcare provider will remove the catheter
after all the X-ray views have been taken.
Pain when you urinate gets worse or lasts longer than 2 days
Fever or chills
Pain in your belly
Blood in the urine
You have less urine than usual
Your healthcare provider may give you other instructions, depending on your situation.