Intravenous Pyelogram (IVP) or Intravenous Urogram (IVU) is a radiological procedure that involves the use of X-rays along with a contrast material to visualize the urinary tract. The procedure helps in examining the kidneys, ureters, and bladder. The use of non-ionic contrast material minimizes the risk of allergic reactions, making it safer for most patients.
IVP or IVU is an invaluable tool in the diagnosis and management of various urinary tract disorders. The procedure involves injecting a contrast material into the bloodstream, which is then filtered out by the kidneys. This contrast material helps to outline the kidneys, ureters, and bladder on X-ray images. By providing a detailed view of the urinary tract, this procedure can help diagnose kidney stones, tumors, or other abnormalities.
Non-ionic contrast material is used because it is less likely to cause allergic reactions compared to ionic contrast material. This makes it safer, especially for patients with a history of allergies or asthma.
The procedure is usually carried out in the radiology department. You’ll be asked to change into a hospital gown and lie on an X-ray table. An IV line will be inserted into a vein, usually in your arm, and the contrast material will be injected. X-ray images will be taken at different time intervals as the contrast material moves through your urinary tract. You might be asked to change positions or hold your breath at times.
IVP/IVU is essential for the diagnosis and management of various urinary tract conditions such as:
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Preparation for a IVP / IVU With Non Ionic Contrast may vary depending on the exact nature and location of the suspected sinus tract. You should communicate with your doctor about any medications you are currently taking, any allergies you have (especially to iodine or contrast material), and if there's a possibility that you are pregnant.
Eating and drinking restrictions might be in place if the procedure requires sedation or anaesthesia. This usually involves fasting (not eating or drinking) for a specified period before the process. However, this largely depends on your doctor's instructions.
Note: Home Sample Collection is only for Pathology lab tests.
You might feel a pinch when the IV line is inserted, but the procedure itself is not painful. Some patients experience a warm sensation when the contrast material is injected.
There are minimal risks associated with this procedure. Some individuals might have an allergic reaction to the contrast material. There is also minimal exposure to radiation.
The procedure usually takes about 30 minutes to an hour.
Follow the instructions provided by your doctor regarding fasting and medications. Wear comfortable clothing.
You can usually go home after the procedure. Drink plenty of water to help flush the contrast material from your system.
Your doctor will review the images and discuss the findings with you at a follow-up appointment.
Yes, in some cases, ultrasounds or CT scans can be used as an alternative to IVP/IVU.
You will usually be asked to fast for 8-12 hours before the procedure.
Inform your doctor if you are pregnant as the X-rays can be harmful to the fetus.
If there are abnormal findings, you should consult the doctor who referred you for the procedure, usually a urologist or nephrologist.
IVP/IVU with Non-Ionic Contrast is an essential diagnostic tool in assessing the urinary tract. With minimal risks, it offers valuable information that can assist in the diagnosis and management of various conditions. It's important to follow your doctor’s instructions in preparation for the procedure and communicate any concerns you may have. Drinking water after the procedure can help in eliminating the contrast material from the system efficiently.