It gives both anatomical and functional information, albeit with a relatively higher dose of radiation. Practice parameters and technical standards are not inflexible rules or requirements of practice and. If your kidneys function more slowly, the test can last up to 4 hours. An intravenous pyelogram ivp is a type of xray that looks at your kidneys and bladder and the ducts ureters that connect them. It is, however, associated with significant disadvantages in terms of cost and toxicity. Intravenous urography ivu, also referred to as intravenous pyelography ivp or excretory urography eu, is a radiographic study of the renal parenchyma, pelvicalyceal system, ureters and the urinary bladder. The declining use of urography in clinical practice presents a challenge for instruction. Original article from the new england journal of medicine intravenous urography in the patient with renal insufficiency. Intravenous urography also known as intravenous pyelography is an xray procedure which is used to assess problems in your kidneys, ureters, bladder and urethra. Intravenous urography an overview sciencedirect topics. An intravenous pyelogram examination helps the radiologist assess abnormalities in the urinary system.
Like any other imaging study, intravenous urography should ideally be tailored to answer a specific clinical question, 4, 5. Your doctor may recommend this exam if you have blood in your urine or pain in your side or lower back. You should be able to go back to your normal diet and activities afterward. Find out more about what it is, how you have it and what happens afterwards. A aks about llergy to seafood, iodine, or radiologic. The patient may eat and drink unless your referring doctor has another examination or procedure for you after the ivu examination. The ureters are tubes which go from each kidney to your bladder. Excretory urography is a type of contrast study used to verify and localize upper urinary tract disease. Urinary system contrast studies overview and intravenous. It allows your doctor see the size and shape of these structures in order to determine if they are working normally and to look for signs of. This combination is safer than intravenous urography and should be the initial investigation for such patients. Also called intravenous pyelography has as its purpose the study of the contrast medium in the urinary tract. Iomeprol versus iopromide for intravenous urography.
Urography with conventional xray is known as intravenous pyelogram ivp. Intravenous urography procedure and indications flashcards. As the largest country in south asia and the seventhlargest in the world, india is home to over one billion inhabitants. It also has the advantage of providing accurate staging for. During the test, the radiologist injects a contrast dye into one of your veins. If you have asthma, diabetes, heart or kidney problems, sickle. This is a short presentation for my students, not a complete lecture.
A procedure for intravenous urography in rabbits springerlink. The doctor will then give patient an injection of contrast medium into their arm. The use of ct urography ctu in the investigation of haematuria is increasing. An intravenous pyelogram pieuhlowgram, also called an excretory urogram, is an xray exam of your urinary tract. Jan 17, 2018 this is a short presentation for my students, not a complete lecture. A presentation about intravenous urography also known as intravenous pyeography. The contrast used for ivp studies will not discolour your urine or cause any discomfort when you pass urine.
Full text is available as a scanned copy of the original print version. Ivu intravenous urogram or ivp intravenous pyelogram. Start studying urinary system contrast studies overview and intravenous urography procedure. Trend of the ivu use as a diagnostic procedure among patients. Computed tomography urography ctu vs intravenous urography ivu on patients at risk of urothelial tumors the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Intravenous pyelogram ivp also referred as intravenous urography ivu or excretory urography eu, is a xray exam that uses an injection of iodinecontaining contrast material to evaluate your kidneys, ureters and urinary bladder and help diagnose blood in the urine or pain in your side or lower back.
Until recently, it was considered to be the gold standard for imaging in acute renal colic. Pdf bowel preparation in intravenous urography doesnt. An ivu intravenous urogram or ivp intravenous pyelogram is a test to look at your urinary system. Intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. However, other imaging modalities such as ultrasonography, computed tomography, and magnetic resonance imaging are being used with increasing frequency. Historically, intravenous urography ivu was the radiographic modality of choice for noninvasive assessment of the urinary tract. Intravenous urography ivu, also referred to as intravenous pyelography ivp or excretory urography eu, is a radiographic study of the renal parenchyma, pelvicalyceal system, ureters and. A urogram may demonstrate partial obstruction, hydroureteronephrosis, and drainage into the vagina. Intravenous urography ivu has been considered an integral component of the nephrourological workup since its introduction by swick in 1929.
Intravenous urography national university hospital. Of the many ways to obtain images of the urinary system, the intravenous injection of a contrast agent has been traditionally considered the best. Although originally performed using plain radiographic techniques, advanced imaging modalities have been progressively refined such that computed tomography ct andor magnetic resonance imaging mri have largely replaced excretory urography eu as the. An ivp is used to diagnose infections, kidney stones, lower back or side pain and other issues. Nursing implications for these diagnostic procedures are presented on p. Jun 12, 2014 this video presentation describes the routine protocol plus tailored filming sequences for different kidney diseases while performing intravenous urography ivu. The main reason for a computerized tomography ct urogram is to do an examination of the kidneys, ureters, and bladder. Voi editing but this can be a timeconsuming postprocessing procedure. Full text full text is available as a scanned copy of the original print version. The intravenous urogram ivu is a timehonored, lowcost, conventional radiographic procedure for evaluation of the urinary tract. Schedule ivp prior to any ordered barium test or gallbladder. Intravenous pyelogram ivp intravenous pyelogram ivp is an xray exam that uses an injection of contrast material to evaluate your kidneys, ureters and bladder and help diagnose blood in the urine or pain in your side or lower back. Sep 06, 1980 full text full text is available as a scanned copy of the original print version. The premedication procedure that may be used to reduce the risk of reactions prior to performing an intravenous urography procedure on a patient who uses glucophage check chart or ask patient actions that a technologist may take to find out if the patient is using glucophage.
Get a printable copy pdf file of the complete article 542k, or click on a page image below to browse page by page. May 25, 2014 a presentation about intravenous urography also known as intravenous pyeography. Intravenous urography supplemented with computerised. An intravenous pyelogram is a test that uses an xray and contrast dye to take images of your urinary tract, including your kidneys, bladder, and ureters. In pocket companion to brenner and rectors the kidney eighth edition, 2011. Urography is also often performed using computed tomography ct or magnetic resonance imaging mri. With the recent advances in small animal ultrasonagraphy, excretory urography has become an underutilized procedure. All xray procedures involve exposure to ionising radiation in varying amounts. As an imaging study, it combines anatomic accuracy with qualitative information regarding renal function and obstruction. Ct urography ctu or ctivu has now largely replaced traditional ivu in imaging the genitourinary tract. Ivu or intravenous urography is a radiological procedure used to visualise abnormalities of the urinary system,including the kidneys,ureter and bladder. Ultrasonography with abdominal radiography is as accurate as intravenous urography in detecting important urological abnormalities in men presenting with urinary tract infection. This practice parameter has been developedby the american college of radiology acr and the society of. Intravenous pyelogram ivp atlantic general hospital.
An intravenous pyelogram ivp, also called an intravenous urogram ivu, is a radiological procedure used to visualize abnormalities of the urinary system, including the kidneys, ureters, and bladder. However, ctu has been shown to be more accurate at identifying upper tract urothelial pathology. The economic implications of unsuspected findings from ct. Technique and interpretation1 learning objectives for test 1 after reading this article and taking the test, the reader will be able to. Pdf analysis of intravenous urography findings in a. Intravenous urography also referred to as excretory urography eu and intravenous pyelography ivp is a radiographic contrast study for evaluation of the kidneys and ureters, including the termination of the ureters at the urinary bladder. This xray test provides a general evaluation of your kidneys, ureter and urinary bladder. Your doctor may tell you to drink more fluids than normal to flush the contrast dye from your body. Intravenous urography in the patient with renal insufficiency.
These risks are low and we will take all necessary what to expect during the procedure. The following list of medications are in some way related to, or used in the treatment of this condition. Abdominal radiology sar to assist physicians supervising the performance or interpretation of excretory. Get a printable copy pdf file of the complete article 542k, or click on a page image below. Urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract. Be sure that your doctors office has sent an xray request form to the radiology department or that you bring one with you.
Intravenous urography definition intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. To analyze intravenous urography ivu findings in a tertiary reference center. You will lie on an xray table where the radiographer will take a image of your abdomen. Apply the rules of urographic interpretation to the evaluation of urinary tract disease. Place line in advance, creatinine for cmstudies gfr calculation nsf, mock unit visit to magnet. This extremely diverse country boasts one of the worlds fastestgrowing economies and with its 38 jci accredited facilities, its considered a prime destination for medical tourism. Intravenous urography ivu intravenous pyelogram ivp, intravenous urography, ivu, excretory urography procedure overview what is an intravenous pyelogram. Intravenous urography ivu has been the initial imaging technique of choice for diagnosis of various. Cystoscopy and retrograde pyelography are performed to evaluate for bladder injury and to visualize the distal ureteral segment if not well seen on the urogram. Urography urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract. You will be asked to change into a hospital gown and given a questionnaire to fill out. This investigation should be done repeatedly, since the data obtained in these animals are variable.
If possible, please do not bring children with you. The presentation contains 41 slides, and is divided into 4 parts. An ivp is an imaging test used to look at the kidneys and ureters. Other imaging tests, like ct scans, are more common. Intravenous urography ivu tests and procedures sehat. An attempt at retrograde stenting is reasonable if the.
Intravenous pyelogram health encyclopedia university. Intravenous urography ivu is considered an integral imaging component of the nephrourological workup in a wide array of clinical settings. Definition it is the radiographic examination of the urinary tract including the renal parenchyma, calyces and pelvis after the intravenous injection of the contrast media. An intravenous pyelogram ivp is a special xray examination of the kidneys, bladder, and ureters. The intravenous pyelogram may be performed as an emergency procedure or on an outpatient basis. Nursing implications for diagnostic tests the client with uti intravenous pyelography ivp preparation assess knowledge and understanding of procedure, clarifying information as needed. Oct 22, 2017 urography is a radiologic technique used for the evaluation of the genitourinary systemspecifically, the kidneys, ureters, and bladder. Kub radiograph, scout tomogram to ascertain technique and level.
Intravenous pyelogram health encyclopedia university of. In most cases, the ivp becomes an emergency procedure because you might arrive at the emergency department with symptoms usually pain in the back and abdomen that suggest a blockage to the flow of urine through the ureter. Intravenous urography definition of intravenous urography. Schedule ivp prior to any ordered barium test or gallbladder studies using contrast material. An intravenous pyelogram lets your doctor view your kidneys, your bladder and the tubes that carry urine from your kidneys to your bladder ureters. An intravenous pyelogram can show the size, shape, and position of the urinary tract, and it can evaluate the collecting system inside the kidneys. The aim is to illustrate the collecting systems, ureters and bladder with intravenous contrast, albeit in a single acquisition as opposed to the multiple and more dynamic traditional ivu. The ivu images are, however, occasionally limited by variables like patient body habitus, state of bowel preparation, split renal function, and radiographic factors. The ureters are the narrow tubes that carry urine from the kidneys to the bladder. Intravenous urography procedure and indications cypress college radt 247 radiographic positioning with 8th edition of textbook of radiographic positioning and related anatomy by kenneth l. An intravenous pyelogram ivp is an xray exam of your urinary tract kidneys, ureters, and bladder.
Uttam laudari jr iii kathmandu medical college intravenous urography 2. An intravenous pyelogram ivp is a type of xray that allows visualization of the kidneys and ureters after the injection of a contrast dye. Intravenous urography is a rather simple procedure in rabbits. Retrograde pyelography an overview sciencedirect topics. Oct 17, 2018 the intravenous pyelogram may be performed as an emergency procedure or on an outpatient basis. Patient will be asked to lie on an xray table where the radiographer will take a preliminary film of their abdomen. Your doctor has ordered an intravenous urogram ivu or intravenous pyelogram.
An ivp may provide enough information to allow your doctor to treat you with medication and avoid surgery. Previously, intravenous urography ivu was the primary imaging modality for the upper urinary tract. Bowel preparation in intravenous urography doesnt have an impact on the quality of urinary tract image article pdf available in bangladesh journal of medical science 161. Your doctor has referred you for an intravenous urogram ivu. Magnetic resonance urography in patients with noncontributory intravenous urography doi. At our institution there is an openaccess policy with regard to requesting ivu studies. Jun 20, 2016 intravenous urography also known as intravenous pyelography is an xray procedure which is used to assess problems in your kidneys, ureters, bladder and urethra. This document is an educational tool designed to assist practitioners in providing appropriate radiologic care for patients. Magnetic resonance urography in patients with contributory.
Intravenous urography is a specialised xray examination of the urinary tract which entails an injection of contrast medium dye into the blood vessels to render them opaque on the xray images. Pdf iomeprol versus iopromide for intravenous urography. In hi tt t t t di i this test, contrast media is injected into bloodstream and a series of xray are then taken at timed intervals. In some instances, information regarding renal function and disease pathophysiology can also be obtained. Our standard procedure for intravenous urography with optional images is outlined in the, table, 6, 10. An attempt at retrograde stenting is reasonable if the pyeloureterogram demonstrates ureteral continuity. Intravenous urography has long been the cornerstone of the imaging evaluation of urinary tract disease. The american urological association best practices policy guidelines recommend iv or ct urography as the initial imaging test for patients with asymptomatic microscopic hematuria.