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Yeh test kya hai aur kyun kiya jata hai
Retrograde urethrogram, jise aam tor par RUG kaha jata hai, urethra ki shakl aur chaurai dikhata hai. Urologist ise tangi (urethral stricture), bairuni chot ya rukawat dhoondne ke liye kah sakta hai. Chot ke baad catheter lagane se pehle bhi kabhi kiya jata hai, aur tangi ke ilaaj ki mansooba bandi mein bhi madad karta hai.
Yeh test nali ki shakl dikhata hai. Mesane aur gurdon ko itni tafseel se nahi dikhata, is liye aur tests bhi zaroori ho sakte hain.
Test se pehle
- Team ko contrast dye ya iodine se kisi allergy ke baare mein batayein.
- Team ko gurdon ke masail, haamla hone, ya haal hi mein peshab ke infection ke baare mein batayein.
- Agar catheter lagi ho to team ko batayein.
- Test se pehle peshab kar lein, jab aap se kaha jaye.
- Apne taur par koi dawa band na karein. Apni aam dawaon ke baare mein sawal ho to team se poochhein.
- Aam tor par roza nahi chahiye, lekin hospital ki jo hidayat hon un par amal karein.
Test ke dauran
Aap X-ray mez par letey hain. Team us jagah ko saaf karti hai aur aik patli, naram nali ya chhota nozzle narami se urethra ke khule hisse mein rakhti hai. Phir dye aahista aahista dala jata hai.
Jab dye nali ko bharta hai to jalan, bharne ka ehsaas, ya peshab ki hajat mehsoos ho sakti hai. Is dauran X-ray tasveerein li jati hain, aur aap se mur'ne ya thori der sakoon se rehne ko kaha ja sakta hai. Test aam tor par chhota hota hai. Team har qadam se pehle samjhati hai.
Khawateen mein yeh test bohat kam kiya jata hai. Team batayegi ke woh kaunsa tareeqa istemal karti hai.
Test ke baad
- Aam tor par aap test ke thori der baad ghar ja sakte hain.
- Aik din tak jalan ho sakti hai, ya thora khoon aa sakta hai.
- Zyada pani piyein aur mamool ke mutabiq peshab karein.
- Agar peshab na ho sake to fauran madad lein.
Mumkin khatre
Jalan aur peshab ki hajat aam hain, aur thora khoon bhi aa sakta hai. Yeh aam tor par aik din mein theek ho jata hai.
Kam aam, peshab ka infection ho sakta hai jis ke liye antibiotic chahiye. Dye se allergy bohat kam hoti hai, aur team pehle allergy ke baare mein poochhti hai. Bohat kam, nali se urethra ko mamooli chot lag sakti hai. Team test se pehle in khatron ko samjhayegi.
Aap ke nateeje
Tasveerein urethra ki shakl aur chaurai dikhati hain. Report kisi tangi, phatne ya dusri tabdeeli ko batati hai.
Aap ka urologist nateeje ko alamaat ke saath parh kar tay karega ke agle qadam kya hon. Kuch tangiyon ka ilaaj mukhtalif tareekon se ho sakta hai, jo un ke saiz aur jagah par munhasir hai. Apne taur par urethra ko phailane ki koshish na karein, aur is ke liye herbal ilaaj na lein, kyun ke isse nuqsan ho sakta hai.
Fauran madad kab lein
Is test ke baad agar yeh hon to fauran madad lein:
- Peshab bilkul nahi ho raha.
- Bukhar ya kaampna, jo infection ke baad ho sakta hai (dekhein UTI guide).
- Shadeed khoon, ya bade lothray, urethra ya peshab mein.
- Pait ke nichle hisse ya lund mein shadeed dard, ya dye ke baad jild par daane, sujan, ya saans lene mein dikkat. Saans ki dikkat ke liye fauran qareebi emergency department jayein.
Agar shak ho to qareebi emergency department jayein aur test ka khat dikhayein.
Aam sawalaat
Kya test dardnak hai?
Aam tor par takleef deta hai, dard nahi. Jalan ya bhari pan aam hai. Agar dard ho to team ko batayein, woh ruk jayegi ya aahista karegi.
Dye nas mein dene ke bajaye aagay kyun daali jati hai?
Test urethra ko hi dikhata hai, is liye dye ko seedha usi mein dalna zaroori hai.
Kya bejaan karna parega?
Aam tor par nahi. Zyada tar log yeh test hosh mein karwate hain.
Kya yeh MCUG test jaisa hai?
Nahi. MCUG woh X-ray hai jo bladder bharte waqt aur peshab karte waqt liya jata hai, aur zyada tar bachon mein istemal hota hai. Retrograde urethrogram sirf urethra ko dekhta hai.
Kya peshab ke infection mein test ho sakta hai?
Aam tor par infection ka ilaaj hone tak test mulatvi kiya jata hai, kyun ke infection tasveer ko dhundla kar sakta hai.
Kya yeh test cancer dikhata hai?
Aam tor par nahi. Yeh tangi, phatne aur urethra ki shakl mein dusri tabdeeliyan dikhata hai.
Kya tangi ka ilaaj ho sakta hai?
Haan, bohat si surton mein. Ilaaj tangi ke saiz aur jagah par munhasir hai. Aap ka urologist options samjhayega. Apne taur par urethra ko phailane ki koshish na karein, aur herbal ilaaj na lein, kyun ke isse haalat badtar ho sakti hai.
Kya yeh test Pakistan mein dastyab hai?
Haan, bohat se bade radiology markazon aur hospitals mein. Apne urologist se poochhein ke woh kis markaz ko istemal karte hain.
What it is and why it is done
A retrograde urethrogram, often called RUG, shows the shape and width of the urethra. Your urologist may ask for it to find narrowing (a urethral stricture), a tear or injury, or a blockage. It is sometimes done after an injury to the area before a catheter is placed, and it helps plan treatment for a narrowing.
The test shows the shape of the tube. It does not show the bladder or the kidneys in detail, so other tests may be needed.
Before the test
- Tell the team about any allergy to contrast dye or iodine.
- Tell the team about kidney problems, pregnancy, or a recent urine infection.
- If you have a catheter, tell the team.
- Empty your bladder before the test, when you are asked.
- Do not stop any medicine on your own. Ask your team if you have questions about your usual medicines.
- Fasting is not usually needed, but follow any instructions your hospital gives you.
During the test
You lie on an X-ray table. The team cleans the area and places a thin, soft tube or a small nozzle gently into the opening of the urethra. The dye is then injected slowly.
You may feel burning, fullness, or a need to pass urine as the dye fills the tube. The X-ray pictures are taken during this time, and you may be asked to turn or to hold still for a moment. The test is usually short. Your team explains each step before it happens.
Women have this test much less often. Your team will explain which method they use.
After the test
- You can usually go home soon after the test.
- You may feel burning, or pass a little blood, for a day or so.
- Drink plenty of fluids, and pass urine normally.
- If you cannot pass urine, get help straight away.
Possible risks
Burning and a feeling of needing to pass urine are common, and a little blood in the urine can happen. These usually settle within a day.
Less common, a urine infection can follow, which may need antibiotics. Allergic reactions to the dye are rare, and the team asks about allergies beforehand. Very rarely, the tube can cause a minor injury to the urethra. Your team will explain these risks before the test.
Your results
The pictures show the shape and width of the urethra. The report describes any narrowing, tear or other change.
Your urologist uses the results together with your symptoms to decide what, if anything, should be done next. Some narrowings can be treated in different ways, depending on their size and position. Please do not try to stretch the urethra yourself, and do not use herbal remedies for it, as this can cause harm.
When to seek urgent help
Please seek urgent help after this test if any of these happen:
- You cannot pass urine at all.
- Fever or shivering, which can follow an infection (see the urinary tract infection guide).
- Heavy bleeding, or large clots, from the urethra or in the urine.
- Severe pain in the lower tummy or the penis, or a rash, swelling or difficulty breathing after the dye. For breathing difficulty, go to the nearest emergency department at once.
If you are in any doubt, go to the nearest emergency department and show them your test letter.
Common questions
Is the test painful?
It is usually uncomfortable rather than painful. Burning or a feeling of fullness is common. Tell the team if it hurts, and they will slow down or pause.
Why is the dye put in at the front rather than into a vein?
The test shows the urethra itself, so the dye needs to be placed directly into it.
Do I need a general anaesthetic?
Usually not. Most people have this test awake.
Is this the same as the MCUG test?
No. The MCUG is an X-ray taken while the bladder fills and while urine is passed, and it is mainly used in children. The retrograde urethrogram looks at the urethra only.
Can I have the test if I have a urine infection?
Usually it is postponed until the infection has been treated, because the infection can make the test less clear.
Will this test show cancer?
Not usually. It shows narrowing, tears and other changes in the shape of the urethra.
Can a narrowing be treated?
Yes, in many cases. The treatment depends on the size and position of the narrowing. Your urologist will explain the options. Please do not try to stretch the urethra yourself or use herbal remedies, as this can make things worse.
Is the test available in Pakistan?
Yes, in many larger radiology centres and hospitals. Ask your urologist which centre they use.