Real-time X-ray imaging with contrast — performed and reported by Consultant Radiologists for selected digestive and urinary tract examinations.
Fluoroscopy is a specialist form of X-ray imaging that produces moving, real-time images. A contrast material is used to outline parts of the digestive or urinary tract that are not clearly visible on ordinary X-rays.
Because the images are captured continuously rather than as a single snapshot, fluoroscopy allows the radiologist to watch how contrast moves through the body — assessing not just anatomy but also function, such as swallowing or bladder emptying.
We provide specialist reporting and performance of selected fluoroscopic examinations, including: barium swallow, urethrogram and cystogram — each performed and interpreted by a Consultant Radiologist.
| Duration | 15 – 45 minutes |
| Radiation | Yes — low dose |
| Contrast | Barium or iodinated |
| Preparation | Varies by examination |
| Locations | Spire & Nuffield Bristol |
A barium swallow examines the throat and oesophagus — the tube carrying food from the mouth to the stomach. During the examination, you will be asked to drink a liquid containing barium while X-ray images are taken. This allows the movement of the barium through the oesophagus to be assessed in real time.
It may be used to investigate:
You may be asked not to eat or drink for several hours beforehand. Specific preparation instructions will be provided with your appointment.
A urethrogram is an X-ray examination of the urethra — the tube through which urine leaves the bladder. A small amount of local anaesthetic gel is applied and a short catheter or specialised device is positioned at the opening of the urethra. X-ray contrast is then introduced gently while images are taken.
The examination is most commonly used to assess:
There may be brief discomfort while the contrast is introduced. Infection and allergic reactions are uncommon.
A cystogram is an X-ray examination used to assess the bladder. Contrast is introduced into the bladder through a urinary catheter. Images are taken as the bladder fills and, in some cases, while it empties.
A cystogram may be performed to investigate:
The bladder may feel full during the examination. There is a small risk of urinary infection and a very small risk of a reaction to the contrast material.
Most patients can return to normal activities shortly afterwards. Following a urinary tract examination, mild stinging when passing urine can occasionally occur for a short period.
After a barium swallow, drinking plenty of fluid can help clear the barium and reduce the risk of constipation. Your stools may appear pale for a short time.
Radiation & pregnancy: Fluoroscopy uses ionising radiation. The examination is only performed when the expected clinical benefit outweighs the small radiation risk, and the dose is kept as low as reasonably practicable. Please tell the department beforehand if there is any possibility that you may be pregnant.