Cystogram (X-ray of the bladder)

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Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 12/24/2008 6:58 AM (GMT -6)   
This test is done to ensure adequate healing has occurred and the catheter can be removed.


I had assumed this is a normal procedure that everyone does. (came to this conclusion since my surgeon had me do one) Instead of guessing that you’re healed enough to remove the catheter, you can be tested.


But, from reading about several guys getting to go the ER to get a catheter put back in I’m wondering how common it is to have a cystogram done.


I ended up having four of them done and got the cath removed on week five. (leakage was seen on all four tests but was getting better on each one)  My surgeon said we’d know for sure within 24 hours and gave me his cell number and told me we’d meet at the ER incase I felt sever pain in the lower abdomen.


The darn test cost around $800.00 …So, who had the test done prior to the catheter being removed?

Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices


Regular Member

Date Joined May 2008
Total Posts : 260
   Posted 12/24/2008 8:33 AM (GMT -6)   


  I knew I was going to ask about having one done, just from the info I'd learned from this site...but, in the end I didn't have to do that.  Normal procedure as far as my Doc was concerned.  I've been surprised as well as to the number of guys that haven't had them done, especially with the complications that can be avoided in doing this procedure.....


   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA  spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      5 of 15 cores positive
      Da Vinci I read somewhere on this 
      site....."the first show of the day"
       DaVinci completed 7.29.08,
       Bladder Sling installed, umbilical hernia repair  
       completed during surgery.    
        Sent home 30hrs,  JP drain in place 7days,
       Path report "cancer fully contained"....Margins clear
        Cath removed 8.8.08(ten days) lightly used pad 24 hours
        ED therapy begins 8.9.08. 100mg viagra three times a week,
        pump everyday and hold for ten minutes.
        8.16.08 switched to Levitra 20mg.......whahoo, got lucky...
        immediate results..... 
        9.15.08 pad free at night, one thin (light) pad during the daytime
        hours. Just because I'm chicken..!
         9.18.08 1st post-0p-PSA-Undetectable...Zero's!  Yes!
         12.22.08 2nd post-op PSA-Zeros still...  
         .."just tryin' to reason with hurricane season"..

Veteran Member

Date Joined Dec 2008
Total Posts : 821
   Posted 12/24/2008 9:44 AM (GMT -6)   
This is posted elsewhere, but it's convenient to have it all in one place:

At City of Hope, they clearly did not plan to do a cystogram before removing the catheter, one week after Da Vinci. However, since I had a problem and had the catheter put back in, then they did require a cystogram before removing the catheter the second time. I have the impression that they don't do this very often, as they forgot to tell me I needed a cystogram until I showed up that day.

Age 53
PSA 2007 about 2
PSA 2008 4.3
Diagnosed September 2008.
Biopsy: 6 of 12 cores positive
Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter removed on 7th day, replaced on 8th day, removed again 14th day following negative cystogram
lymph nodes negative
"microscopic margins"

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 12/24/2008 10:42 AM (GMT -6)   
Well as many know, I am about to get my second cath out, and my dr. has never even mentioned doing a cystogram, never heard of one before coming to this site.

Age 56, 56 at DX
PSA 2007 5.8
PSA 9-2008 14.9
3rd Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Non-nerve sparing, 4 days in hospital, staples removed 11/24/8,
Catheter out on 12/15/8 on day 32.  Day 33, urine stopped flowing, new catheter put in 12/16/08 - uncertain of what went wrong.
Post-surgery Pathlogy Report:
Gleason 3+4=7, pT2c pN0 pMx, Prostate 42 grams, tumor 20% cancer
Contained in capsular, neg. margins apex, bladder neck, right lobe, neg. in seminal vessels and lymph nodes. Left lobe: infiltrating tumor miscroscopically appears to extend to marked left posterior margin
First PSA Post Surgery  Scheduled for 1/5/9

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