It uses an endoscope, which is a long, flexible, lighted tube. During intravenous pyelogram, a dye called contrast material is injected into a vein into the patients arm. A retrograde pyelogram occurs when the contrast material is injected into the ureters via an endoscope in the bladder. He or she will then put a catheter through the cystoscope and into a ureter, which carries urine from the kidney to. In some cases, the contrast dye can cause kidney failure, especially if the person is taking glucophage a diabetic medication. For some, this is a misnomer and a test that images intravenous contrast as it travels through the kidney parenchyma into the urinary collecting system should only be called intravenous urography. The complications of retrograde pyelography are same as that of antegrade pyelography. Your urinary system includes your kidneys, bladder. The dye makes the ureters and kidneys more easily seen on the xray.
You may need to do the retrograde pyelogram on the other side because of renal insufficiency 585 or flank pain 788. Retrograde pyelogram free download as powerpoint presentation. Antegrade and retrograde pyelography linkedin slideshare. Youll be asked to remove any clothing, jewelry, or other objects that may get in the way of the test. Retrograde pyelography radiology reference article. There may be additional problems such as a urinary tract infections. The method of procedure of retrograde pyelography in jefferson hospital has not varied since 1912, when professor willis f. If you need to remove clothing, youll be given a gown to wear. A retrograde pyelogram is an imaging test that uses xrays to look at your bladder, ureters, and kidneys. A retrograde pyelogram is performed if the patient cannot receive an intravenous contrast agent because of renal insufficiency or a history of severe contrast agent allergy. A retrograde pyelogram is a procedure allowing a physician to see the ureter and kidneys. Retrograde pyelography is used by many urologists to visualize the ureters and collecting system of the kidney.
The patient expressed understanding and wished to proceed with cystoscopy, right retrograde pyelogram, and right ureteral stent change. Pdf inadvertent placement of the urinary catheter into the ureter can cause several complications. The medicine used for your anesthesia or sedation may delay reflexes and reduce reaction time. Retrograde pyelography an overview sciencedirect topics. Although this is now an uncommon situation, interest in antegrade pyelography has continued for two main reasons. These are available in both print and download format. You may have had a retrograde pyelogram, a similar test that looks at the kidneys and ureters. Choose from 23 different sets of pyelogram flashcards on quizlet.
Retrograde pyelogram what is a retrograde pyelogram. During a cystoscopy, the healthcare provider can inject contrast dye directly into the ureters. Retrograde pyelography predicts retrograde ureteral stenting failure. We present our experience with retrograde ureteroscopic management of renal stones larger than 2. Percutaneous nephrolithotomy with and without retrograde pyelography. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Retrograde pyelography is a procedure commonly used by urologists involving x ray imaging to visualize the kidneys. Oct 01, 20 what is the risk complications for retrograde pyelography. Retrograde pyelography is a procedure commonly used by urologists involving xray imaging to visualize the kidneys. Retrograde pyelography is performed when the ureters are poorly visualized on other imaging.
A retrograde pyelogram provides only anatomic information about the lumen of the collecting system, but the depiction of the anatomy is superior to that seen with ivu. Pyelography or pyelogram refers to imaging of the urinary collecting system the term is most often encountered in intravenous pyelography or ivp. Journal of clinical imaging science retrograde pyelogram. Jan 16, 2019 retrograde pyelography is used by many urologists to visualize the ureters and collecting system of the kidney. A retrograde pyelogram helps doctors identify blockages in the urinary tract and may be used to identify causes of blood in the urine hematuria. The patient was taken to the operating room and after adequate anesthesia was placed in the dorsal lithotomy position on the or table. Jan 23, 2018 a retrograde pyelogram rpg is an imaging test that uses contrast dye in your urinary tract to take a better xray image of your urinary system. This test does not risk making existing kidney damage worse. Complete the medical test information form pdf what is a pdf document. An intravenous pyelogram ivp is a type of xray that looks at your kidneys and bladder and the ducts ureters that connect them. View our phone directory or find a patient care location. During the test, your doctor will insert a thin, lighted tube cystoscope into the urethra, which carries urine out of the body from the bladder.
Retrograde pyelogram for kidney stones michigan medicine. Cystoscopy and left retrograde pyelography medical. The remaining baseline demographics and intraoperative rgp findings are described in table 1. Antegrade pyelography for suspected ureteral obstruction. Discharge instructions for cystoscopy, pyelogram, and stent placement 1. Retrograde pyelography uses a special dye contrast agent injected into the ureters. The flow of contrast up from the bladder to the kidney is opposite the usual outbound flow of urine, hence the retrograde moving backwards name reasons for performing a retrograde pyelogram include.
In a series of 108 children undergoing pyeloplasty, retrograde pyelography rpg did not change the surgical approach or planned procedure in any of the cases. The flow of contrast up from the bladder to the kidney is opposite the usual outbound flow of urine, hence the retrograde moving backwards name. The ureters are the long tubes that connect your kidneys to your bladder. A pyelography or xray technique where radiopaque dye is injected into the kidneys from below, by way of the ureters, allowing further examination of the kidneys. Retrograde pyelography uses a special dye contrast agent. Hi folks, as per below ot notes i coded 52352 and 74402. Usually this test is used to diagnose kidney stones and tumors, or to see them more clearly to assess what treatments need to be offered to resolve tumors and stones. A retrograde pyelogram rpg is an imaging test that uses contrast dye in your urinary tract to take a better xray image of your urinary system. Youll be asked to lie face up on the xray table and place your. Pdf a novel technique for performing retrograde pyelogram. Retrograde pyelography is a form of xray used to get detailed pictures of the ureters and kidneys. Twentytwo patients between october 2004 and june 2008 underwent retrograde flexible urs with holmium laser lithotripsy. But the retrograde pyelogram can be used even if you are allergic to the dye. An iv ntravenous line will be put in your arm or hand.
A retrograde pyelogram is a urologic procedure where the physician injects a radiocontrast agent into the ureter in order to visualize the ureter and kidney with fluoroscopy or radiography. A retrograde pyelogram is a urologic procedure where the physician injects a radiocontrast agent into the ureter in order to visualize the ureter and kidney with. Retrograde ureteroscopy for renal stones larger than 2. It shows pictures of the structures of the kidneys, bladder, and urinary tract.
Retrograde pyelogram for kidney stones kaiser permanente. Normal retrograde pyelogram obstructed retrograde pyelogram. Intravenous pyelogram demonstrates kidneys, ureters and bladder by intravenous injection of contrast material while with retrograde study scope is introduced via urethra with injection of contrast material directly into ureters and kidneys. Pyelogram definition and meaning collins english dictionary. Since then many kinds of iodine derivatives have been tried, some of them toxic to the subject, until the use of sodium iodide in 10 to 12% solution was established as being free from danger. Retrograde pyelogram using the flexible cystoscope sciencedirect. Unlike the ivp, the retrograde pyelogram requires an anesthetic and uses a catheter inserted into the urinary tract. A retrograde pyelogram is an xray examination of the kidneys, ureters and urinary bladder that uses iodinated contrast material injected into the kidneys via a catheter.
The practice of making retrograde pyelographic studies with use of. Each patient underwent retrograde urs using the storz flexx and a ureteral access sheath. Inadvertent placement of the urinary catheter into the ureter can cause several complications. Sep 20, 20 an intravenous pyelogram can be used to evaluate. Rovner md, in penn clinical manual of urology, 2007. An air retrograde pyelogram is associated with decreased radiation. Retrograde pyelogram for kidney stones metro health. Retrograde pyelography definition of retrograde pyelography. This radiographic study is rarely necessary to diagnose upj obstruction. Generally, the retrograde pyelogram follows this process. Retrograde pyelogram health encyclopedia university of. Retrograde pyelogram sydney urinart tract examination. Haus also gives the example of a bladder tumor resection on one side of the bladder and a retrograde pyelogram on the other side.
But there is no cpt code specifically for a retrograde pyelogram. Bill modifier 59 for all payers, and be prepared to send your operative notes. Retrograde pyelogram definition of retrograde pyelogram by. Talk with your doctor if you have questions about individual health concerns or specific treatment options. Retrograde pyelography radiology rsna publications online.
What is contraindicated and alternative options for retrograde pyelography michael y chen, hailey oneill, and nicholas j rukin. It is used to determine whether obstruction in the ureter or kidney is due to a tumour, stone, blood clot or stricture narrowing. Retrograde pyelogram is a urologic procedure where a contrast dye is injected into the kidney through an opening of ureter in the bladder, in order to visualize the ureter and renal pelvis. Pronunciation of retrograde pyelogram with 2 audio pronunciations and more for retrograde pyelogram. A retrograde pyelogram is an imaging study of the renal system using xray technology, usually with contrast dye. This document is for informational purposes only and is not intended to take the place of the care and attention of your personal physician or other professional medical services. But with ivp, the dye is injected into a vein instead of the ureter.
Retrograde pyelography is a procedure commonly used by urologists involving xray imaging to visualize the kidneys, bladder and ureters. Antegrade pyelography for suspected ureteral obstruction in cats. Pdf retrograde pyelogram during intended cystogram. The most popular abbreviation for retrograde pyelogram is. This test is usually done during a test called cystoscopy. Retrograde pyelography was the first method devised for imaging the urinary collecting system, and until the development of early ivu agents in the 1930s, it was the only way of imaging the collecting system. Discharge instructions for cystoscopy, pyelogram, and stent. The retrograde pyelogram provides the same information as an intravenous pyelogram ivp. Jun 28, 2019 download pdf copy by yolanda smith, b. The advent of ct and ultrasound has markedly decreased indications for iv and retrograde urography. The procedure involves introducing contrast into the urinary system in a retrograde fashion with simultaneous imaging using dynamic fluoroscopy. The retrograde pyelogram uses a dye to find out whether a kidney stone or something else is blocking your urinary tract. What are the differences between intravenous pyelogram and. Pdf we describe a novel technique of performing a retrograde pyelogram through a 4.