Download Bladder investigation (Cystometrogram) General information for

Bladder investigation (Cystometrogram)
General information for female patients
Please bring this information sheet with you on the day of your procedure
Your doctor/clinical nurse specialist has recommended this test on your bladder as the best
procedure to help find out the cause of your bladder problems.
There are no alternative procedures available. However, there is always the option of not
receiving any treatment at all. The consequences of not receiving any treatment are your
condition may not improve. If you would like more information please speak to your consultant
or one of the nurses caring for you.
If you are on your period this will not affect the test. However, if you feel uncomfortable about
this please telephone 01332 785551 and an alternative appointment can be given.
As x-rays will be used, please inform staff if there is any possibility that you may be pregnant.
Before the test
A fluid chart has been enclosed for you to complete, so that we can see how much fluid you
drink, how often you use the toilet and how much urine you pass.
Medication
If you are taking medication to relax your bladder eg. Oxybutynin (trade name Ditropan),
Tolterodine (trade name Detrusitol), Trospium Chloride, (trade name Regurin), Solinfenacin
(trade name Vesicare) or Oxybuturin patches (trade name Kertera), Oxybutinin xl (trade name
Lyrinel), Propiverine (trade name Detrunorm, Fesoterodine (trade name Toviaz), then please
stop taking these 1 week before your test.
However, please do not stop any other medications that are not on this list.
If you are taking medication ie. antibiotics for a urinary tract infection, please notify us in order to
make another appointment.
On the day of the test
On the day of your test please arrive with your bladder as full as is comfortable. The specialist
nurse/doctor will have a brief talk with you to explain the test. Please ask any questions you
may have.
During the test
The test will begin by you emptying your bladder in a special toilet (in private) so that we can
check the flow of urine and whether you are able to empty your bladder completely.
The specialist nurse will then place a small catheter/tube into your bladder. An anaesthetic gel
called Instillagel will be used. Another small tube will be placed into your vagina or back
passage. This will allow us to take pressure recordings whilst filling your bladder with special
iodine based fluid (called Urografin) that can be seen on x-ray. This will help us to assess the
shape of your bladder.
Information sheets on Instillagel and Urografin are available on request.
The test may be mildly uncomfortable but should not be painful.
After the test
The test will take approximately ½ an hour to an hour. You will be able to go home or back to
work as normal, immediately after the test.
What should I expect after the test?
Having a tube/catheter passed into your bladder during the test may have caused some
irritation and the first few times you empty your bladder following the test may be a little
uncomfortable.
A small amount of blood may be passed in your urine - this should disappear within 24 hours.
Over the next 24 - 48 hours you should drink plenty of clear fluids as this helps to flush out your
system to clear your urine, and reduce the risk of infection.
It is possible that despite following the above advice you may still experience symptoms of
bladder infection (cystitis). For example:
•
Discomfort in the lower abdomen.
•
Constant urge to pass urine.
•
Burning sensation on passing urine.
•
Passing urine frequently.
•
Cloudy/smelly urine.
These symptoms may be due to an infection. If they persist for more than 24 hours you should
contact your GP without delay. If you have been prescribed a course of antibiotics by the
hospital, it is important that you complete the full course.
How will I get the results?
You should receive a letter inviting you to attend an outpatient appointment to discuss the
results of your test with your doctor or a member of the team.
If you have any queries, or require further information
please contact the Clinical Measurement Department on 01332 785551.
Reference Code: P0790/0321/03.2011/VERSION5
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permission in writing from the Patient Information Service, Derby Hospitals NHS Foundation Trust. (G10317/09.2006/V4)