74450 Urethrocystography, retrograde, radiological supervision and interpretation

Name of the Procedure:

Urethrocystography, Retrograde, Radiological Supervision and Interpretation Common Names: Retrograde Urethrocystography, RUG

Summary

In this procedure, a radiologist uses X-rays to take detailed images of the urethra and bladder. The images are captured while a contrast dye is injected into the urethra, allowing the doctor to see any blockages, injuries, or abnormalities.

Purpose

This procedure is used to diagnose conditions affecting the urethra and bladder. It helps to:

• Detect injuries or strictures (narrowing) in the urethra.
• Identify abnormalities such as tears, blockages, or tumors.
• Evaluate post-surgical outcomes.

Indications

• Difficulty urinating or painful urination.
• Recurring urinary tract infections.
• Blood in the urine.
• Suspected injury to the urethra or bladder.

Preparation

• Patients may be advised to fast for a few hours before the procedure.
• Notify the doctor if you are pregnant or suspect you might be.
• Inform the healthcare team of any allergies, especially to iodine or contrast dyes.
• A routine urinalysis may be required.

Procedure Description

1. The patient will change into a hospital gown and lie on an X-ray table.
2. Using aseptic techniques, a catheter will be inserted into the urethra.
3. A contrast dye is gently injected through the catheter into the urethra and bladder.
4. As the dye fills the bladder and urethra, X-ray images are taken from various angles.
5. The patient may be asked to change positions, such as lying on their side or stomach, to capture comprehensive images.
6. Once sufficient images are acquired, the catheter is removed.

Duration

Typically, the procedure lasts about 30 to 60 minutes.

Setting

The procedure is performed in a radiology department within a hospital or an outpatient imaging center.

Personnel

• Radiologist
• Radiologic technologist
• Nurse or medical assistant

Risks and Complications

• Discomfort or pain during catheter insertion.
• Allergic reaction to the contrast dye.
• Infection at the catheter insertion site.
• Rarely, urethral injury or bleeding.

Benefits

• Accurate diagnosis of urethral and bladder conditions.
• Helps guide treatment decisions and surgical planning.
• Provides clear images that are superior to standard X-rays without contrast.

Recovery

• Patients can usually go home shortly after the procedure.
• Drink plenty of fluids to help flush out the contrast dye.
• Temporary mild discomfort or burning during urination may occur.
• Follow-up appointments as advised by your doctor.

Alternatives

• Ultrasound: Non-invasive but may not provide as detailed images.
• MRI Urography: More detailed but more expensive and time-consuming.
• CT Scan: Provides detailed images but involves higher radiation exposure.

Patient Experience

• You might feel some discomfort when the catheter is inserted.
• The sensation of the contrast dye filling the bladder may feel unusual or cause a mild urge to urinate.
• Pain management options can be discussed with your healthcare provider.
• Post-procedure, minor discomfort during urination is common and usually subsides within a day.