Then you can start reading kindle books on your smartphone, tablet, or computer no kindle device required. Some prefer the term urogram to refer to visualization of the kidney parenchyma, calyces, and pelvis. A new nonionic, lowosmolar iodinated contrast media, ioversol, was compared with another lowosmolar, nonionic contrast media, iohexol, in 80 patients undergoing intravenous urography. Because of accuracy in diagnosis and the controlling power throughout the course of most maladies of the urinary tract, afforded by their. 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. The dmsa scan and intravenous urography in the detection of renal scarring. Pdf for many years, intravenous urography ivu was the modality of choice for diagnosing urinary tract abnormalities.
A survey of radiation doses to 21 pediatric patients. Jan 17, 2018 this is a short presentation for my students, not a complete lecture. Research article ureteral dilatation with no apparent. Enter your mobile number or email address below and well send you a link to download the free kindle app. 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. To determine whether intravenous urography ivu is a prerequisite for shockwave lithotripsy swl of renal stones by addressing whether using.
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. Urography is also often performed using computed tomography ct or magnetic resonance imaging mri. The following list of medications are in some way related to, or used in the treatment of this condition. Intravenous urography shows a variety of changes, including segmental dilatation of the ureter, ureteric stenosis.
Research article ureteral dilatation with no apparent cause on intravenous urography. 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. Intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. Intravenous urography the british journal of radiology. Intravenous urography ivu has been considered an integral component of the nephrourological workup since its introduction by swick in 1929. Intravenous urography article about intravenous urography. It is also used to look for problems with the structure of. 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. Intravenous pyelogram ivp is an xray exam that uses a special dye to outline the kidneys, ureters and bladder. Ureteric colic is a common presentation in the emergency department and accounts for approximately 1% of all hospital admissions. Drugs used for intravenous urography the following list of medications are in some way related to, or used in the treatment of this condition.
An intravenous pyelogram can show the size, shape, and position of the urinary tract, and it can evaluate the collecting system inside the kidneys. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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. Some prefer the term urogram to refer to visualization of the kidney parenchyma, calyces, and pelvis after. 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. 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. Estimation of pediatric radiation doses in intravenous. 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. An intravenous pyelogram ivp is a type of xray that looks at your kidneys and bladder and the ducts ureters that connect them. This is a retrospective study of 40 patients who underwent a ct urography examination on a.
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. 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. Apply the rules of urographic interpretation to the evaluation of urinary tract disease. 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. 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. This is a short presentation for my students, not a complete lecture. Intravenous urography ivu and intravenous pyelogram ivp. An attempt at retrograde stenting is reasonable if the pyeloureterogram. As an imaging study, it combines anatomic accuracy with qualitative information regarding renal function and obstruction. The dmsa scan and intravenous urography in the detection of. Intravenous urography procedure and indications flashcards. This is a retrospective study of 40 patients who underwent a ct urography. Or exp ureteral obstructionor exp contrast mediaor exp colicor intravenous pyelography. May 25, 2014 a presentation about intravenous urography also known as intravenous pyeography.
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. Of the many ways to obtain images of the urinary system, the intravenous injection of a contrast agent has been traditionally considered the best. All drug classes nonionic iodinated contrast media 6. Technique and interpretation1 learning objectives for test 1 after reading this article and taking the test, the reader will be able to. This combination is safer than intravenous urography and should be the initial investigation for such patients. Thirtyeight patients treated by swl econolith 2000 for radiopaque. Many surgeons who have satisfactorily mastered the technique of retrograde pyelography still find that it presents almost insuperable difficulties in children. An ivp may provide enough information to allow your doctor to treat you with medication and avoid surgery. 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. The better the dehydration, the higher will be the optimal dose. The cochrane library issue 1 2009 mesh descriptor tomography, xray computed explode all trees and mesh descriptor urography explode all trees. Radiologyinfo web site at to view or download the latest. 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. Banner md, in penn clinical manual of urology, 2007.
Pdf iomeprol versus iopromide for intravenous urography. Full text full text is available as a scanned copy of the original print version. Bowel preparation of outpatients for intravenous urography. To compare intravenous urography ivu and magnetic resonance urography mru in the preoperative evaluation of pelviureteric junction obstruction pujo in children. Ct urography compared with conventional intravenous. Costeffectiveness analysis cea of intravenous urography. Ct urography, hydronephrosis, intravenous urography, intravenous urogram. In pocket companion to brenner and rectors the kidney eighth edition, 2011. This edition adds six additional chapters from the first edition. 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. For decades, intravenous urography has been the primary imaging modality for evaluation of the urinary tract. Pdf analysis of intravenous urography findings in a tertiary. Diagnosis depends on a typical history, clinical examination and the presence of haematuria.
Cystoscopy and urography, second edition presents the significant advances in instrumentation and application of cytoscopy and urography. Comparison of intravenous urography and magnetic resonance. Is intravenous urography a prerequisite for renal shockwave. Intravenous urography is a test that uses xrays and a special dye to help assess your kidneys, ureters, bladder and urethra note. Urography with conventional xray is known as intravenous pyelogram ivp. Historically, intravenous urography ivu was the radiographic modality of choice for noninvasive assessment of the urinary tract.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Relative merits of ultrasound and intravenous urography in. This exam has been largely replaced by ct urography terminology. It is, however, associated with significant disadvantages in terms of cost and toxicity. The study was performed to clarify the relative merits of the two techniques. Download the pdf to view the article, as well as its associated figures and tables. To analyze intravenous urography ivu findings in a tertiary reference center. Intravenous urography is radiography of kidneys, ureters, and bladder following injection of contrast medium into a peripheral vein. Even in high dose urography, dehydration will improve the concentration of contrast medium in the urine in patients with normal renal function. An intravenous pyelogram ivp is a special xray examination of the kidneys, bladder, and ureters. 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. Additional determination of urinary flow rate is useful for the assessment of an incompletely emptying bladder. 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. Ivp is commonly done to identify diseases of the urinary tract, such as kidney stones, tumors, or infection.
A urogram may demonstrate partial obstruction, hydroureteronephrosis, and drainage into the vagina. The presentation contains 41 slides, and is divided into 4 parts. Manual on contrast media reports that studies show the amount of contrast. Intravenous urography an overview sciencedirect topics.
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. Jun 20, 2016 intravenous urography is a test that uses xrays and a special dye to help assess your kidneys, ureters, bladder and urethra. Intravenous urography definition intravenous urography is a test which x rays the urinary system using intravenous dye for diagnostic purposes. To analyze the taskspecific variable costs combined with the diagnostic effect of mdct and ivu for patients with acute flank pain, and to. View the article pdf and any associated supplements and figures for a period of 48 hours.
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. Our standard procedure for intravenous urography with optional. Patients were assessed for changes in vital signs, patient tolerance heat and pain, and other adverse effects. Download fulltext pdf iomeprol versus iopromide for intravenous urography article pdf available in british journal of radiology 67802. Intravenous urography supplemented with computerised.
Intravenous urography has long been the cornerstone of the imaging evaluation of urinary tract disease. A pragmatic hybrid imaging approach to hydronephrosis. The arrangements, and the way tests are performed, may vary between different hospitals. Get a printable copy pdf file of the complete article 542k, or click on a. Intravenous urography definition of intravenous urography. Bowel preparation for intravenous urography kaohsiung j med sci april 2005 vol 21 no 4 153 bowel preparation of outpatients for intravenous urography. 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. The intravenous urogram ivu is a timehonored, lowcost, conventional radiographic procedure for evaluation of the. Intravenous urography has traditionally been used as the means of investigation, but over recent years this has been superseded by ct urography. Benefits of ct urography in patients presenting to the. 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.
Retrograde pyelography an overview sciencedirect topics. Diuretic contrastenhanced magnetic resonance urography versus intravenous urography for depiction of nondilated urinary tracts. Like any other imaging study, intravenous urography should ideally be tailored to answer a specific clinical question, 4, 5. 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.
However, other imaging modalities such as ultrasonography, computed tomography, and magnetic. Abstract an elementary text on findings in plain films and pyelographic intravenous and retrograde studies of the urinary tract. Image quality and pathology assessment in ct urography. Intravenous urography revisited dawson 1990 british. Backflow, in the usual context, is a general term referring to the passage of contrast medium from the pelvicalyceal system into the kidney.
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 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. This exam has been largely replaced by ct urography. Ct urography ctu or ctivu has now largely replaced traditional ivu in imaging the genitourinary tract. Scribd is the worlds largest social reading and publishing site. Intravenous urography and childhood trauma postgraduate. Urography urography uses imaging and contrast material to evaluate or detect blood in urine, kidney or bladder stones, and cancer in the urinary tract.
This book is organized into two parts encompassing 27 chapters. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. 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. Pdf analysis of intravenous urography findings in a. Patient information leaflet isle of wight nhs trust. An intravenous pyelogram ivp is an xray examination of the kidneys. Always follow the instructions given by your doctor or local hospital. In a more restricted sense, it refers to such passage wi.
Intravenous urography pyelography is a test that uses xrays and a special dye to help assess the kidneys, ureters, bladder and urethra. List of intravenous urography medications 6 compared. 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. Intravenous urography examination and if you need further advice, please contact your diabetic nurse.
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