Retrograde pyelography uses a special dye contrast agent injected into the ureters. A retrograde pyelogram is an imaging study of the renal system using xray technology, usually with contrast dye. The method of procedure of retrograde pyelography in jefferson hospital has not varied since 1912, when professor willis f. 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. Retrograde pyelogram health encyclopedia university of. 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. Pyelography or pyelogram refers to imaging of the urinary collecting system the term is most often encountered in intravenous pyelography or ivp. In an iv pyelogram, after injection of a bolus of iv contrast material, radiographs and tomograms are obtained rapidly to demonstrate the enhancement of the renal parenchyma, followed by. Your urinary system includes your kidneys, bladder. Although this is now an uncommon situation, interest in antegrade pyelography has continued for two main reasons. The most popular abbreviation for retrograde pyelogram is. What are the differences between intravenous pyelogram and. Youll be asked to remove any clothing, jewelry, or other objects that may get in the way of the test. Retrograde pyelography is a procedure commonly used by urologists involving xray imaging to visualize the kidneys.
Retrograde pyelogram free download as powerpoint presentation. The ureters are the long tubes that connect your kidneys to your bladder. 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. Retrograde pyelogram for kidney stones michigan medicine. But with ivp, the dye is injected into a vein instead of the ureter. Retrograde pyelography is a procedure commonly used by urologists involving x ray imaging to visualize the kidneys. Twentytwo patients between october 2004 and june 2008 underwent retrograde flexible urs with holmium laser lithotripsy. 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. If you need to remove clothing, youll be given a gown to wear. The patient expressed understanding and wished to proceed with cystoscopy, right retrograde pyelogram, and right ureteral stent change. Sep 20, 20 an intravenous pyelogram can be used to evaluate. Pdf retrograde pyelogram during intended cystogram. Antegrade pyelography for suspected ureteral obstruction.
During intravenous pyelogram, a dye called contrast material is injected into a vein into the patients arm. The remaining baseline demographics and intraoperative rgp findings are described in table 1. Discharge instructions for cystoscopy, pyelogram, and stent. Discharge instructions for cystoscopy, pyelogram, and stent placement 1. Retrograde pyelography is a form of xray used to get detailed pictures of the ureters and kidneys. You may have had a retrograde pyelogram, a similar test that looks at the kidneys and ureters. Retrograde pyelography radiology reference article. 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. 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. Retrograde pyelogram what is a retrograde pyelogram. It shows pictures of the structures of the kidneys, bladder, and urinary tract.
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. But there is no cpt code specifically for a retrograde pyelogram. Complete the medical test information form pdf what is a pdf document. Retrograde pyelography uses a special dye contrast agent. Retrograde pyelogram for kidney stones metro health. Unlike the ivp, the retrograde pyelogram requires an anesthetic and uses a catheter inserted into the urinary tract. You may need to do the retrograde pyelogram on the other side because of renal insufficiency 585 or flank pain 788. The advent of ct and ultrasound has markedly decreased indications for iv and retrograde urography.
The patient was taken to the operating room and after adequate anesthesia was placed in the dorsal lithotomy position on the or table. Retrograde pyelography radiology rsna publications online. A retrograde pyelogram is an imaging test that uses xrays to look at your bladder, ureters, and kidneys. Each patient underwent retrograde urs using the storz flexx and a ureteral access sheath. View our phone directory or find a patient care location. Jun 28, 2019 download pdf copy by yolanda smith, b. Retrograde pyelogram sydney urinart tract examination. The retrograde pyelogram provides the same information as an intravenous pyelogram ivp. Choose from 23 different sets of pyelogram flashcards on quizlet. Cystoscopy and left retrograde pyelography medical. He or she will then put a catheter through the cystoscope and into a ureter, which carries urine from the kidney to. 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.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. What is contraindicated and alternative options for retrograde pyelography michael y chen, hailey oneill, and nicholas j rukin. Youll be asked to lie face up on the xray table and place your. An iv ntravenous line will be put in your arm or hand. A retrograde pyelogram is a procedure allowing a physician to see the ureter and kidneys. This radiographic study is rarely necessary to diagnose upj obstruction. In some cases, the contrast dye can cause kidney failure, especially if the person is taking glucophage a diabetic medication. Generally, the retrograde pyelogram follows this process. Oct 01, 20 what is the risk complications for retrograde pyelography. 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. 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. The retrograde pyelogram uses a dye to find out whether a kidney stone or something else is blocking your urinary tract.
Pdf inadvertent placement of the urinary catheter into the ureter can cause several complications. Journal of clinical imaging science retrograde pyelogram. Pronunciation of retrograde pyelogram with 2 audio pronunciations and more for retrograde pyelogram. 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. The procedure involves introducing contrast into the urinary system in a retrograde fashion with simultaneous imaging using dynamic fluoroscopy. We describe a rare complication during cystogram due to unrecognized inadvertently placed urinary catheter in ureter, resulting in a lifethreatening situation. Percutaneous nephrolithotomy with and without retrograde pyelography. Retrograde pyelogram using the flexible cystoscope sciencedirect. This test does not risk making existing kidney damage worse. A retrograde pyelogram helps doctors identify blockages in the urinary tract and may be used to identify causes of blood in the urine hematuria. A pyelogram is an xray of the renal pelvis and ureter, following injection of contrast. But the retrograde pyelogram can be used even if you are allergic to the dye.
These are available in both print and download format. Bill modifier 59 for all payers, and be prepared to send your operative notes. Jan 16, 2019 retrograde pyelography is used by many urologists to visualize the ureters and collecting system of the kidney. Retrograde pyelogram for kidney stones kaiser permanente. 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. Pyelogram definition and meaning collins english dictionary. During a cystoscopy, the healthcare provider can inject contrast dye directly into the ureters. Hi folks, as per below ot notes i coded 52352 and 74402. 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.
It uses an endoscope, which is a long, flexible, lighted tube. Retrograde ureteroscopy for renal stones larger than 2. Retrograde pyelography an overview sciencedirect topics. Antegrade and retrograde pyelography linkedin slideshare. The complications of retrograde pyelography are same as that of antegrade pyelography. Talk with your doctor if you have questions about individual health concerns or specific treatment options. 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. Retrograde pyelography is performed when the ureters are poorly visualized on other imaging. Retrograde pyelography definition of retrograde pyelography. 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. A retrograde pyelogram was performed on 2 men with the flexible choledochonephroscope and a 5f whistletip ureteral catheter. Inadvertent placement of the urinary catheter into the ureter can cause several complications. Retrograde pyelogram definition of retrograde pyelogram by.
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. Rovner md, in penn clinical manual of urology, 2007. Percutaneous nephrolithotomy with and without retrograde. 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. The dye makes the ureters and kidneys more easily seen on the xray. B attempted retrograde pyelogram with failure of contrast to pass stricture. Retrograde pyelography is used by many urologists to visualize the ureters and collecting system of the kidney. 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. Pdf a novel technique for performing retrograde pyelogram. A retrograde pyelogram occurs when the contrast material is injected into the ureters via an endoscope in the bladder. Pdf we describe a novel technique of performing a retrograde pyelogram through a 4. 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.
Normal retrograde pyelogram obstructed retrograde pyelogram. Retrograde pyelography predicts retrograde ureteral stenting failure. Haus also gives the example of a bladder tumor resection on one side of the bladder and a retrograde pyelogram on the other side. It is used to determine whether obstruction in the ureter or kidney is due to a tumour, stone, blood clot or stricture narrowing. We present our experience with retrograde ureteroscopic management of renal stones larger than 2.
An air retrograde pyelogram is associated with decreased radiation. The practice of making retrograde pyelographic studies with use of. This test is usually done during a test called cystoscopy. There may be additional problems such as a urinary tract infections.
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