Retrograde cystoscopy is a diagnostic test that uses x-ray imaging to examine the bladder after it has been filled with a contrast dye. The dye helps to highlight the tissues of the bladder and makes it easier to examine its features in the x-ray image. Using these images, the doctor is able to examine the structure of the bladder and diagnose any abnormalities.
The x-ray images are taken both when the bladder is filled with the contrast dye and after the dye has been drained. The cystoscopy procedure can help the doctor to detect conditions such as a ruptured bladder, tumors, blood clots or signs of diverticulitis.
Retrograde cystoscopy may be used to diagnose the following conditions:
Retrograde cystoscopy may also result in bladder infection or bleeding.
Prior to undergoing the procedure you will have to sign a consent form. If you have any doubts or questions regarding the procedure, now is the time to ask your doctor. Your doctor will have already given you instructions to drink only clear liquids during the previous 24 hour period. You may also be given a laxative the previous night or may be required to take an enema on the day of the procedure.
You should also notify the doctor in case you have any known allergies or have had a reaction to contrast dyes. You should also disclose any medications you may be taking.
Retrograde cystoscopy is usually undertaken as an outpatient procedure.
It may also be performed during your stay in a hospital if you have already been admitted there.
First, you will be asked to take off any jewelry or metallic objects from your person. You will then have to empty your bladder.
You will be asked to lie down on your back after which a catheter will be inserted into your bladder. An x-ray of you kidney, ureters and bladder will be taken. Males may have a lead shield placed over their testicles.
The contrast dye will be introduced into the bladder and the catheter tube will be clamped to stop the dye from draining out.
X-ray images will be taken while the dye is being injected and you may be asked to alter your position so that images from alternate angles can be taken
The contrast dye is then drained from the bladder and additional images are taken. The catheter will then be removed.
Unless advised otherwise by your doctor, you should be able to resume your normal diet. Drinking plenty of fluids will help to eliminate any residual dye in the bladder. Your urine may have a pinkish tinge for a couple of days but this should stop after a while. If the discoloration persists or if you experience a lot of pain, contact your doctor.
Notify your doctor if you experience any fever, chills, abdominal pain or a lower than normal urine output.