What is a cystometrogram?
A cystometrogram or CMG is a test used to evaluate your bladderâ€™s ability to store and release urine.
How to prepare?
- Please arrive for your procedure on time.
- Do not empty your bladder for 1 hour prior to your appointment time.
- You may eat and drink as usual and remain active right up until the time of your cystometrogram.
What to expect when you arrive
- You will be asked to empty your bladder into a special commode. This commode can record the rate at which you empty your bladder, as well as the amount of urine you emptied at that particular time.
- A catheter (a thin, long, flexible tube) is then inserted into the bladder and any urine remaining in the bladder is drained and measured (post-void residual). Then, a second catheter is placed into the rectum.
- The catheter will be used to fill your bladder with a sterile saline solution. Meanwhile, you will be asked several questions about the sensations you are experiencing. Then you will be asked to perform certain activities, such as coughing, or pushing (â€œbearing downâ€), while your bladder is being filled.
- Once you feel that your bladder is filled to capacity, you will be asked to empty it with the catheters in place. The computerized instrument will record the pressures generated by your bladder. The catheters will be removed after the computerized instrument collects sufficient pressure readings.
- The test takes approximately 30 minutes to complete. You may resume your normal activities immediately.
How are the results interpreted?
- NormalThe amount of urine left in the bladder after urinating, when the urge to urinate is felt, and when urine can no longer be held back are within normal ranges.
- AbnormalOne or more of the following may be found:
- More than a normal amount of fluid remains in the bladder after urinating. A large volume of urine remaining in the bladder suggests the flow of urine out of the bladder is partially blocked or the bladder muscle is not contracting properly to force all the urine out (overflow incontinence).
- The bladder contains less fluid, or more fluid than is considered normal when the first urge to urinate is felt.
- The person is unable to retain urine when the bladder contains less than the normal amount of fluid for most people.