My First Cystogram after Surgery

REPORT

Clinical indications: Post prostatectomy assessment

Contrast: 50 mL Omnipaque 300

Fluoroscopy time: 1.12 minutes

AP and multiple oblique and lateral images of the bladder were acquired. There is an

indwelling Foley catheter.

Within the limits of this study, there is minimal contrast extravasation demonstrated at

the bladder base.

Impression:

Minimal contrast extravasation demonstrated at the bladder base 

4 Replies

oldestnewest
  • extravasation means it was leaking.

  • 2nd Cystogram

    Examination: Cystogram

    Date: 12/8/2015

    Comparison: Cystogram dated 12/1/2015

    Clinical history: 62-year-old male status post prostatectomy presents for follow-up after

    a cystogram 1 week ago demonstrated small amount of extravasation from the base of

    the bladder.

    Technique: The patient was placed in the supine position upon the fluoroscopy table.

    Contrast was instilled into the bladder by gravity through the indwelling Foley catheter. A

    total of 65 cc of Cystografin was instilled into the bladder. Following multiple images in

    the AP, bilateral oblique, and lateral projections, the bladder was subsequently emptied

    by gravity drainage through the Foley. A total of 4 minutes and 45 seconds of

    fluoroscopy time were utilized for the examination.

    Findings: Foley catheter is demonstrated within the bladder. Subsequent images

    demonstrate a small wisp of extravasation arising from the level of the vesicoureteral

    anastomosis. The tiny extravasation is seen on the right side and extending posteriorly.

    Following the examination there is successful drainage of the bladder with small amount

    of retained contrast at the site of extravasation.

    Impression: Tiny wisp of contrast extravasation arising from the right side of the

    vesicourethral anastomosis, extending posteriorly. This is unchanged from the prior

    examination

    It was still leaking.

  • 3rd Cystogram

    Examination: Cystogram

    Date: 12/21/2015

    Comparison: Cystogram dated 12/8/2015, 12/1/2015

    Clinical history: 62-year-old male status post prostatectomy presents for follow-up after

    cystograms on 12/8/15 and 12/1/2015 demonstrated small amount of extravasation from

    the base of the bladder.

    Technique: The patient was placed in the supine position upon the fluoroscopy table.

    Contrast was instilled into the bladder by gravity through the indwelling Foley catheter. A

    total of 125 cc of Omnipaque 300 was instilled into the bladder. Following multiple

    images in the AP, bilateral oblique, and lateral projections, the bladder was subsequently

    emptied by gravity drainage through the Foley. A total of 2 minutes and 47 seconds of

    fluoroscopy time were utilized for the examination.

    Findings: Foley catheter is demonstrated within the bladder. There is no evidence of

    contrast extravasation. Specifically, the previously seen tiny wisp of contrast

    extravasation from the right side of the base of the bladder is no longer visualized.

    There is a small area of extrinsic mass effect upon the left base of bladder, likely post

    surgical change and without clinical significance. The remainder of the bladder is normal

    in contour. Following the examination, there was successful drainage of the bladder

    through the Foley catheter.

    Impression: Interval resolution of the previously seen tiny extravasation at the

    vesicourethral anastomosis. Today's examination is essentially normal.   Finally it is normal.

  • My catheter was removed in the afternoon of December 21, 2015. I was so thankful.

You may also like...