Intravenous urography definition of intravenous urography. Intravenous urography article about intravenous urography. Some prefer the term urogram to refer to visualization of the kidney parenchyma, calyces, and pelvis. Costeffectiveness analysis cea of intravenous urography. This is a retrospective study of 40 patients who underwent a ct urography. The necessity for precise and early diagnosis in suspected rupture of the bladder is emphasized by practically all writers on the subject. It gives both anatomical and functional information, albeit with a relatively higher dose of radiation. All drug classes nonionic iodinated contrast media 6. An intravenous pyelogram ivp is a special xray examination of the kidneys, bladder, and ureters. Ct urography, hydronephrosis, intravenous urography, intravenous urogram. Intravenous urography and childhood trauma postgraduate. To determine whether intravenous urography ivu is a prerequisite for shockwave lithotripsy swl of renal stones by addressing whether using noncontrastenhanced ct ncct instead of ivu for delineating urinary tract anatomy is associated with postswl complications. Intravenous urography pyelography is a test that uses xrays and a special dye to help assess the kidneys, ureters, bladder and urethra. Cystoscopy and urography, second edition presents the significant advances in instrumentation and application of cytoscopy and urography.
An attempt at retrograde stenting is reasonable if the pyeloureterogram. To determine whether intravenous urography ivu is a prerequisite for shockwave lithotripsy swl of renal stones by addressing whether using. Urography is also often performed using computed tomography ct or magnetic resonance imaging mri. Five hundred and twelve patients who underwent ivu studies for urologic referrals at a tertiary care hospital, during the period of january to december 2009, formed the subject of the study, of whom 33 patients with inconclusive ivu findings after the first three radiographs underwent a singlephase ctu, to reach definitive imaging diagnoses. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Always follow the instructions given by your doctor or local hospital. This combination is safer than intravenous urography and should be the initial investigation for such patients. Additional determination of urinary flow rate is useful for the assessment of an incompletely emptying bladder. This is a retrospective study of 40 patients who underwent a ct urography examination on a. Our standard procedure for intravenous urography with optional.
This exam has been largely replaced by ct urography. Thirtyeight patients treated by swl econolith 2000 for radiopaque. Jan 17, 2018 this is a short presentation for my students, not a complete lecture. 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. A new nonionic, lowosmolar iodinated contrast media, ioversol, was compared with another lowosmolar, nonionic contrast media, iohexol, in 80 patients undergoing intravenous urography. To determine whether intravenous urography ivu is a prerequisite for shockwave lithotripsy swl of renal stones by addressing whether using noncontrastenhanced ct ncct instead of iv. Intravenous urography definition intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. A urogram may demonstrate partial obstruction, hydroureteronephrosis, and drainage into the vagina. Very rarely, it is possible to experience a delayed reaction, up to 48 hours post contrast media injection and if any of the symptoms listed below occur, it is essential that you attend the accident and emergency department immediately. Many surgeons who have satisfactorily mastered the technique of retrograde pyelography still find that it presents almost insuperable difficulties in children. Ivp is commonly done to identify diseases of the urinary tract, such as kidney stones, tumors, or infection. Intravenous urography ivu has been considered an integral component of the nephrourological workup since its introduction by swick in 1929.
An ivp may provide enough information to allow your doctor to treat you with medication and avoid surgery. This is a short presentation for my students, not a complete lecture. Unlike a kidneys, ureters, and bladder xray kub, which is a plain that is, noncontrast radiograph, an ivp uses contrast to highlight the urinary tract. Historically, intravenous urography ivu was the radiographic modality of choice for noninvasive assessment of the urinary tract. Research article ureteral dilatation with no apparent. Image quality and pathology assessment in ct urography. Patients were assessed for changes in vital signs, patient tolerance heat and pain, and other adverse effects. Intravenous urography procedure and indications flashcards. Pdf analysis of intravenous urography findings in a. Pdf for many years, intravenous urography ivu was the modality of choice for diagnosing urinary tract abnormalities. May 25, 2014 a presentation about intravenous urography also known as intravenous pyeography. Three hundred and fifty adult patients referred for intravenous urography were entered into a prospective double blind trial comparing intravenous urography with real time ultrasound. The better the dehydration, the higher will be the optimal dose. The following list of medications are in some way related to, or used in the treatment of this condition.
The role of all modalities, including conventional radiography, intravenous urography ivuexcretory urography, ultrasonography, retrograde pyelography, multidetector computed tomography urography mdctu, and magnetic resonance urography mru, is discussed. Download the pdf to view the article, as well as its associated figures and tables. Jun 20, 2016 intravenous urography is a test that uses xrays and a special dye to help assess your kidneys, ureters, bladder and urethra. Abstract an elementary text on findings in plain films and pyelographic intravenous and retrograde studies of the urinary tract. Radiologyinfo web site at to view or download the latest.
In pocket companion to brenner and rectors the kidney eighth edition, 2011. A pragmatic hybrid imaging approach to hydronephrosis. Of the many ways to obtain images of the urinary system, the intravenous injection of a contrast agent has been traditionally considered the best. Bowel preparation for intravenous urography kaohsiung j med sci april 2005 vol 21 no 4 153 bowel preparation of outpatients for intravenous urography. The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. View the article pdf and any associated supplements and figures for a period of 48 hours. To determine whether intravenous urography ivu is a prerequisite for shockwave lithotripsy swl of renal stones by addressing whether using noncontrastenhanced ct ncct instead of ivu for delineating urinary tract anatomy is associated with postswl complications patients and methods.
Intravenous urography has traditionally been used as the means of investigation, but over recent years this has been superseded by ct urography. 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. Full text full text is available as a scanned copy of the original print version. Urography urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract. Intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. This edition adds six additional chapters from the first edition. Ct urography compared with conventional intravenous. A total of 35 children up to 10 years of age in whom unilateral or bilateral pujo were suspected on ultrasonography were enrolled in this prospective study. To analyze the taskspecific variable costs combined with the diagnostic effect of mdct and ivu for patients with acute flank pain, and to. Learn vocabulary, terms, and more with flashcards, games, and other study tools. References to any names, marks, products, or services of third parties or hypertext links to third. Manual on contrast media reports that studies show the amount of contrast. Get a printable copy pdf file of the complete article 542k, or click on a. It is important to compare the cost and effectiveness of multidetector computed tomography mdct and intravenous urography ivu to determine the most costeffective alternative for the initial investigation of acute ureterolithiasis.
Intravenous urography is radiography of kidneys, ureters, and bladder following injection of contrast medium into a peripheral vein. An intravenous pyelogram ivp is an xray examination of the kidneys. Comparison of intravenous urography and magnetic resonance. Intravenous urography examination and if you need further advice, please contact your diabetic nurse. Pdf iomeprol versus iopromide for intravenous urography. Intravenous urography supplemented with computerised. Urography with conventional xray is known as intravenous pyelogram ivp. Is intravenous urography a prerequisite for renal shockwave.
Intravenous urography an overview sciencedirect topics. Intravenous urography, results were compared with the european guidelines on quality criteria for diagnostic radiographic images and with international literature, in order to optimize the radiological practice. Drugs used for intravenous urography the following list of medications are in some way related to, or used in the treatment of this condition. Like any other imaging study, intravenous urography should ideally be tailored to answer a specific clinical question, 4, 5. The study was performed to clarify the relative merits of the two techniques. This book is organized into two parts encompassing 27 chapters. Although all are valid, excretory urography is probably the most appropriate term because the study evaluates both the kidneys excretory function and the structure of the entire upper urinary tract both kidneys and ureters. Intravenous urography has long been the cornerstone of the imaging evaluation of urinary tract disease. Intravenous urography shows a variety of changes, including segmental dilatation of the ureter, ureteric stenosis. Ureteric colic is a common presentation in the emergency department and accounts for approximately 1% of all hospital admissions. Our standard procedure for intravenous urography with optional images is outlined in the, table, 6, 10 the preliminary kidney, ureter, bladder kub radiograph is an indispensable part of the sequence. To compare intravenous urography ivu and magnetic resonance urography mru in the preoperative evaluation of pelviureteric junction obstruction pujo in children. Ct urography ctu or ctivu has now largely replaced traditional ivu in imaging the genitourinary tract. Backflow, in the usual context, is a general term referring to the passage of contrast medium from the pelvicalyceal system into the kidney.
The dmsa scan and intravenous urography in the detection of. Intravenous urography revisited dawson 1990 british. Pdf analysis of intravenous urography findings in a tertiary. The arrangements, and the way tests are performed, may vary between different hospitals. Intravenous pyelogram ivp is an xray exam that uses a special dye to outline the kidneys, ureters and bladder. Even in high dose urography, dehydration will improve the concentration of contrast medium in the urine in patients with normal renal function. The intravenous urogram ivu is a timehonored, lowcost, conventional radiographic procedure for evaluation of the. The cochrane library issue 1 2009 mesh descriptor tomography, xray computed explode all trees and mesh descriptor urography explode all trees.
Download fulltext pdf iomeprol versus iopromide for intravenous urography article pdf available in british journal of radiology 67802. Mar, 2012 ct urography is defined as ct examination of the kidneys, ureters and bladder with at least one series of images acquired during the excretory phase after intravenous contrast administration. 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, other imaging modalities such as ultrasonography, computed tomography, and magnetic. 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. In recent years, however, other imaging modalities including ultrasonography us, computed tomography ct, and magnetic resonance mr imaging have been used with increasing frequency to compensate for the limitations of intravenous urography in the evaluation of. Patient information leaflet isle of wight nhs trust. Apply the rules of urographic interpretation to the evaluation of urinary tract disease. Enter your mobile number or email address below and well send you a link to download the free kindle app. The dmsa scan and intravenous urography in the detection of renal scarring. Or exp ureteral obstructionor exp contrast mediaor exp colicor intravenous pyelography. Intravenous urography is a test that uses xrays and a special dye to help assess your kidneys, ureters, bladder and urethra note. Banner md, in penn clinical manual of urology, 2007. Scribd is the worlds largest social reading and publishing site.
To analyze intravenous urography ivu findings in a tertiary reference center. Diagnosis depends on a typical history, clinical examination and the presence of haematuria. Our aim was to compare ct images from native, nephrographic and excretory phases using image quality criteria as well as the detection of positive pathological findings in ct urography, to explore if the radiation burden to the younger group of patients or patients with negative outcomes can be reduced. Retrograde pyelography an overview sciencedirect topics. It was concluded that when haematuria is only detected microscopically and clears within 24 hr then an ivu is not necessary, in the absence of other evidence of significant urinary tract injury. As an imaging study, it combines anatomic accuracy with qualitative information regarding renal function and obstruction. Maximum dehydration is not achieved with the usual period of 8 to 12 hours fluid restriction before urography. Diuretic contrastenhanced magnetic resonance urography versus intravenous urography for depiction of nondilated urinary tracts. Some prefer the term urogram to refer to visualization of the kidney parenchyma, calyces, and pelvis after. Estimation of pediatric radiation doses in intravenous. The current study intends to measure entrance surface dose esd and effective dose ed and estimate the radiation risks for pediatric patients undergoing ivu procedures. Benefits of ct urography in patients presenting to the.
It is also used to look for problems with the structure of. It is, however, associated with significant disadvantages in terms of cost and toxicity. Bowel preparation of outpatients for intravenous urography. An intravenous pyelogram ivp is a type of xray that looks at your kidneys and bladder and the ducts ureters that connect them. 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. 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. List of intravenous urography medications 6 compared. The presentation contains 41 slides, and is divided into 4 parts. Technique and interpretation1 learning objectives for test 1 after reading this article and taking the test, the reader will be able to. Abstract cystoscopy and pyelography in children may be difficult and usually requires the use of some form of a general anesthetic with its additional incidental dangers. A pilot study vinitarathi,sachinagrawal,shuchibhatt,andnaveensharma university college of medical sciences and guru teg bahadur hospital, dilshad garden, delhi, india correspondence should be addressed to vinita rathi.
Then you can start reading kindle books on your smartphone, tablet, or computer no kindle device required. Intravenous urography the british journal of radiology. For decades, intravenous urography has been the primary imaging modality for evaluation of the urinary tract. This exam has been largely replaced by ct urography terminology. Efficacy of castor oil versus bisacodyl hueichen yang, minghuei sheu,1 jiahwia wang, and chengyen chang department of radiology, taipei veterans general hospital, and 1department of. Intravenous urography supplemented with computerised tomography urogram. Intravenous urography is the second most common tool after. Research article ureteral dilatation with no apparent cause on intravenous urography. Intravenous urography ivu and intravenous pyelogram ivp. Relative merits of ultrasound and intravenous urography in. Because of accuracy in diagnosis and the controlling power throughout the course of most maladies of the urinary tract, afforded by their. A survey of radiation doses to 21 pediatric patients. Ct urography is defined as ct examination of the kidneys, ureters and bladder with at least one series of images acquired during the excretory phase after intravenous.
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