Micturating cysto-urethrogram (MCU)

An MCU combines the techniques of both urethrography and cystography. It particularly useful in diagnosing conditions such as vesicoureteral reflux (VUR), urethral strictures, bladder diverticula, and urinary incontinence.

Micturating cysto-urethrogram (MCU)

An MCU combines the techniques of both urethrography and cystography. It particularly useful in diagnosing conditions such as vesicoureteral reflux (VUR), urethral strictures, bladder diverticula, and urinary incontinence.

What is a micturating cysto-urethrogram?

A micturating cysto-urethrogram (MCU) is used to look at the urinary system (bladder & kidneys). 

It uses ‘contrast’, a clear liquid, which shows on x-rays. It involves filling the bladder with contrast dye through a catheter while also monitoring the flow of urine (micturition) as the bladder empties.

An MCU combines the techniques of both a urethrogram and cystogram.

  • Like a cystogram, contrast dye is introduced into the bladder, usually via a catheter, to visualise its structure and function.
  • However, unlike a cystogram, during an MCU, the patient is asked to urinate (micturate) while x-ray images are taken. This allows the radiologist to observe the size and shape of the bladder as it empties, and to image the urethra simultaneously.
  • Additionally, during an MCU, the upper urinary tract, including the ureters and kidneys, may be imaged to assess for any reflux of contrast back up the ureters into the kidneys, a condition known as vesicoureteral reflux (VUR).

How do I prepare for the examination? keyboard_arrow_down

There is no special preparation for this test. 

There is a consent form for this examination outlining the preparation, procedure, possible complications and aftercare. You will be asked to read through this, asked questions to ensure you are happy to continue with the procedure and lastly to sign the consent form.

What happens during an MCU examination? keyboard_arrow_down

A small plastic catheter (thin plastic tube) is inserted carefully into the bladder through the urethra using a lubricant. This can be uncomfortable for the brief time during insertion of the catheter. 

Once the catheter has been inserted, a liquid containing iodine (which shows up on the x-rays to provide a clear image or picture of the area) is then dripped through the catheter and into the bladder so that the bladder can be seen on the X-ray images. 

Once the bladder is filled, you will be asked to empty your bladder while x-ray images are being taken to show how the urethra is working.

What happens after the examination? keyboard_arrow_down

Once the Radiologist has acquired the necessary images, you may go home. 

The radiologist will review the pictures and provide a written report to your referring doctor. The digital images will be available online (internet) for your doctor to view. The Radiologist may be able to give you a verbal result at the end of the examination. 

You can eat and drink normally. 

The contrast media is clear so it will not be noticeable in your urine. You may notice spotting when you urinate; this may be due to the small tube scratching inside wall of your urethra. This should only last a small time, but if you are concerned please contact your referring doctor.

Related procedures

Related procedures

How much will my examination cost?

Fees for radiology tests can vary and depend on a number of factors. Please make an enquiry with us by phone or email to get a quote for the service you require. ACC co-payments may apply.

We accept all radiology referral forms.

Waikato
Phone: 0800 426 723
Email: Booking.Waikato@i-med.co.nz

Rotorua
Phone: 0800 466 564
Email: Booking.Rotorua@i-med.co.nz

Bay of Plenty
Phone: 07 544 5993
Email: Bookings.bop@i-med.co.nz

Taranaki
Phone: 06 759 4317
Email: bookings@taranakiradiology.co.nz