What is a micturating cystogram examination?


A micturating cystogram is an x-ray examination of the bladder.
This area is not clearly seen on plain x-ray, so contrast (dye) that
shows on x-ray is used to highlight the area. This test demonstrates
any weakness in the tubes leading from the bladder to the kidneys
(reflux).
The contrast is clear in colour and will be passed next time your child
urinates. Your child should be on preventative antibiotics prior to
the examination taking place to minimise the small risk of infection.
You will be able to remain with your child whilst the examination
takes place, though please note we cannot accommodate siblings
and they will not be allowed in the x-ray room. Please inform the
radiographer if there is any possibility of pregnancy.
The examination will be carried out by a consultant radiologist. A
radiographer and a nurse will be present to support and assist during
the examination. We are a training hospital and a student may be
present during your examination, please inform a member of staff if
this is unacceptable.

How will the investigation be performed?


Once you have booked in at reception you will be taken into the
x-ray room, the procedure will be explained and you will have the
opportunity to ask any questions. With your child lying down, the
consultant will then insert a urinary catheter into your child’s urethra
using anaesthetic gel. The contrast will flow into the bladder through
the urinary catheter. X-rays will be taken as the bladder fills and
as your child’s bladder empties. Once empty the catheter will be
removed. The x-ray camera will move around your child as it takes
images. Your child may experience some discomfort during the
examination as the bladder becomes full.
The examination takes approximately 30 minutes.

What are the risks?


This investigation involves exposure to X-rays. X-rays consist of a
type of radiation known as ionising radiation. The doses that are
used in medical X-rays are very low and the associated risks are
minimal. The radiographer is responsible for making sure that your
dose is kept as low as possible and that the benefits of having the
X-ray outweigh any risk.

Are there any alternatives to having a micturating cystogram?


Alternative imaging may be available, but your doctor feels that this
is the most appropriate test for you. Please speak to your referring
doctor, or to the radiologist on the day of your examination for more
information.

After your examination


After the examination you will be given advice regarding your child
antibiotic dose, you may then return home.

Your results


Your results will be sent to the consultant that referred you for this
test. You should expect to hear from the consultant to discuss the
findings of your examination within a maximum of three weeks.

Useful contact details


To change your appointment telephone 01253 956789

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Author Radiology X-Ray Department 

Approved by Radiology Policy Review Group Meeting 

Date of Publication 09/11/2023

Reference No PL/1273 (v2) 

Review Date 01/11/2026