There is no specific preparation for a urethrogram examination. Continue to take your medicines as you normally would.

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.

The procedure is conducted under strict aseptic technique in order to avoid introducing an infection into the renal tract. 

The Radiologist will first cleanse the urethral area with Savlon and then insert a small tube into the end of the urethra (tip of penis). A small balloon on the end of the catheter prevents the tube from going in further. This part of the procedure may sting a little. Following this a liquid consisting of contrast media (see contrast media for more information) and saline is introduced into the bladder via the urethra. 

Real time x-rays (Fluoroscopy) are taken so the Radiologist can see the contrast passing through the urethra and the bladder filling. The small tube is then removed and when you feel the need to urinate, tell the radiologist and a pan or bottle will be given to you. 

While you urinate the Radiologist will take x-rays to see whether the bladder is emptying correctly.

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.