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Alternative Names Return to topBladder scan
Definition Return to top
A radionuclide cystogram is a special imaging tests called a nuclear scan that involves placing radioactive material into the bladder. A scanner then detects radioactivity to check bladder and urinary tract functions.
How the Test is Performed Return to top
The specific procedure may vary slightly depending on the reason for the examination.
You will lie on the scanner table. After cleaning the urinary opening, the health care provider will place a thin flexible tube, called a catheter, through the urethra and into the bladder. A solution containing the radioisotope flows into the bladder until the bladder is full (or you say that your bladder feels full).
The timing of the scan depends on the suspected problem. You may be asked to urinate into a urinal, bedpan, or towels while being scanned.
To test for incomplete bladder emptying, images may be taken with the bladder full, then you will be allowed to get up and urinate into the toilet and return to the scanner. Images are taken immediately after emptying the bladder.
How to Prepare for the Test Return to top
There is no special preparation needed. You will need to sign a consent form. You will be asked to wear a hospital gown. Remove jewelry and metal objects before the scan.
How the Test Will Feel Return to top
You may feel some discomfort when the catheter is inserted. Catheterization and urination in public -- sometimes, when lying on the table -- may be difficult or embarrassing. You cannot feel the radioisotope or the scanning.
After the scan, you have feel a slight discomfort for 1 or 2 days when you urinate. The urine may be slightly pink. If you have persistant discomfort, a fever, or bright red urine, contact your health care provider.
Why the Test is Performed Return to top
This test is done to see how your bladder empties and fills. It can be used to check for urine reflux or an obstruction in urine flow. It is usually be done to evaluate patients with urinary tract infections, particularly children.
Normal Results Return to top
A normal value is no reflux or other abnormal urine flow, and no obstruction to the flow of urine occurs. The bladder empties completely.
What Abnormal Results Mean Return to top
Abnormal results may be due to:
Risks Return to top
Risks are the same as for x-rays (radiation) and catheterization of the bladder.
There is a small amount of radiation exposure with any nuclear scan (it comes from the radioisotope, not the scanner). The radiation is very mild, and virtually all radiation is gone in a short time. However, any radiation exposure is discouraged for women who are or might be pregnant.
Risks for catheterization include a risk for causing a urinary tract infection and the risk (rare) of damage to the urethra, bladder, or other nearby structures.Update Date: 10/2/2008 Updated by: Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.