RGU X-RAY SCAN
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About The Test
A RGU X-Ray Scan (retrograde urethrogram) is a specialised imaging test that checks the urethra for blockages, injuries, and other problems. Using a small amount of contrast dye and low-dose X-rays, the test gives your doctor a detailed roadmap of the urinary passage—all completed at Cadabams Diagnostics without the need for hospital admission.
What is an RGU X-Ray Scan?
Definition of retrograde urethrogram imaging
An RGU X-Ray Scan is an outpatient fluoroscopy study where contrast dye is gently introduced into the urethra through a thin catheter. X-ray images are taken while the dye travels upward, outlining every curve and contour of the urinary passage.
How contrast dye highlights the urethra
- The iodinated dye appears bright white on X-ray film.
- Any narrowing (stricture), leaks (fistula), or abnormal pouches (diverticula) stand out instantly.
- The whole process is monitored in real time, ensuring nothing is missed.
Types of RGU X-Ray Scan
- Standard retrograde urethrogram: Static images capture the urethra in detail.
- Dynamic RGU with video fluoroscopy: Real-time motion study reveals stricture movement and sphincter function.
List of Parameters
- Urethral diameter at multiple points
- Presence of stricture length and location
- Bladder neck competence
- Any contrast leakage outside the urethra
- Post-void residual contrast (optional)
Why This Test
- Investigating poor urine flow in men: Identify strictures or enlarged prostate effects.
- Post-trauma evaluation: Road accidents or pelvic fractures can injure the urethra.
- Pre-surgical planning: Surgeons use the images to decide the best approach for stricture repair.
When to Take Test
Symptoms indicating the test
- Weak or interrupted urine stream
- Painful urination (dysuria)
- Blood in urine (haematuria) after injury
- Repeated urinary tract infections in men
Age & gender eligibility
- Adult men (18 years and above) are the primary candidates.
- Adult women may need an RGU in rare trauma cases.
- Children require paediatric urologist clearance—available on request at Cadabams Diagnostics.
Benefits
Benefits of Taking the RGU X-Ray Scan
- Quick 15-minute procedure—no hospital stay.
- High-resolution imaging with 3D reconstruction options.
- Same-day digital reports accessible on phone or email.
- Minimal discomfort—local anaesthetic gel is applied.
Illnesses Diagnosed with RGU X-Ray Scan
- Urethral stricture (scar narrowing)
- Urethral fistula (abnormal connection)
- Bladder neck obstruction (blockage at outlet)
- Diverticula, stones, or foreign bodies
Preparing for test
- Fasting & hydration guidelines: Fast for 2 hours; drink one glass of water to keep kidneys active.
- Clothing & jewellery advice: Wear loose cotton clothes; remove metal zippers and chains.
Pre-requisites for RGU X-Ray Scan
- Recent urine routine & culture report (within 7 days).
- List of current medications.
- Signed consent form available at Cadabams Diagnostics.
Best Time to Take the RGU X-Ray Scan
- Morning slots (7 am – 11 am) reduce waiting times.
- Avoid during active UTI: Finish antibiotic course first.
Eligibility
- Adults 18+
- Contraindications:
- Known pregnancy
- Severe previous anaphylaxis to iodinated contrast
Procedure for Taking an RGU X-Ray Scan
- Check-in at Cadabams Diagnostics reception.
- Change into provided gown; personal belongings secured.
- Lie on the X-ray table; a nurse cleans the area.
- Local anaesthetic gel applied; soft catheter inserted.
- Contrast dye injected slowly while X-rays are taken.
- Catheter removed; optional post-void film.
- Dress and collect digital report link within 2 hours.
Duration & positioning: 10–15 minutes; supine with legs slightly apart.
Caution Before Taking the Test
- Inform the technician if you have diabetes or kidney issues.
- Mention any allergy to shellfish or iodine.
- If you feel discomfort, raise your hand—staff will pause immediately.
Test Results
Reports and Explanations
| Finding / Observation | Description | |
|---|---|---|
| Normal | Smooth, uniform dye column from tip to bladder. | |
| Stricture | Focal narrowing with upstream dilation. | |
| Fistula | Contrast outside the urethral lumen. | |
| Reporting | Reports signed by senior radiologists and shared via secure link. |
Risks & Limitations
- Low radiation exposure: Comparable to a chest X-ray.
- Allergy to contrast dye: Rare; inform staff of any previous reactions.
- When alternative imaging is preferred: Severe urethral infection or pregnancy—MRI or ultrasound may be advised instead.
FAQs
Is the RGU X-Ray Scan painful?
Most patients feel only mild pressure; local anaesthetic gel minimises discomfort.
Can I drive home after the scan?
Yes, no sedation is used, so driving is safe.
How much does the scan cost?
Transparent pricing is updated daily on Cadabams Diagnostics’ website.
Do women ever need this scan?
Rarely, after pelvic trauma or complex surgical history.