If your medical professional believes that something is obstructing your kidneys or ureters, you might require a retrograde pyelogram. It is also employed to identify potential reasons of urine that contains blood. This could be a blood clot, tumor, stone, or narrowing (strictures). Additionally, the ureteral stent or catheter placement is examined with this test. A hollow tube called a stent allows urine to pass through obstructions.
Even if you are allergic to contrast dye, you can usually still undergo this test.
The body only absorbs a little portion of the colour. You could also get the test if your kidneys aren’t working well.
Other factors may have led your doctor to advise a retrogradepyelogram.
In This Article...
What is the goal of the bilateral retrograde pyelogram during a cystoscopy?
This technique is used to clear a blocked ureter, which is typically the result of a stone. A cystoscopy is carried out while under a general anesthetic, and contrast is injected into the ureter with the help of an X-ray to provide a picture of the kidney and ureter’s drainage system. The next step is the internal placement of a flexible silicone stent, with one end going into the kidney and the other into the bladder. Then, as decided by your urologist, this is either altered or removed at a later time.
What does an intravenous pyelogram do?
To identify conditions that impact the urinary tract, such as kidney stones, bladder stones, an enlarged prostate, kidney cysts, or urinary tract cancers, an intravenous pyelogram may be employed.
How can you tell the difference between an IVP and a retrograde pyelogram?
A particular dye (contrast agent) is injected into the ureters during retrograde pyelography. The dye improves x-ray visibility of the kidneys and ureters. Similar to an intravenous pyelogram is this test (IVP). Instead of the ureter, the dye is injected into a vein during IVP.
Does a retrograde pyelogram hurt?
A retrograde pyelogram is a short, comparatively painless treatment that aids in finding urinary tract problems. Additionally, it can aid your doctor in performing safe surgery or other urological operations.
There are dangers associated with any anesthesia-related surgery. Before having this surgery done, discuss your overall health and medical history with your doctor to prevent any long-term consequences.
Why perform a cystoscopy by a urologist?
A cystoscopy may be used by your doctor to see what’s going on inside your bladder and urethra. Urine is held in the bladder until it is released through the urethra, a tube in the body.
A cystoscopy is carried out by a urologist, or expert in the urinary tract. Your doctor utilizes a cystoscope, a pencil-sized, lit tube with a camera or viewing lens, to do the procedure. Specialists can identify and occasionally treat urinary tract issues via a cystoscopy.
Who might need a cystoscopy?
If you experience: your healthcare professional could advise a cystoscopy.
- Urinary control problems, such as urinary retention (not being able to completely empty the bladder) or incontinence (not being able to control urine flow).
- urethral blood (hematuria).
- Urinary tract infections frequently (UTIs).
- unpleasant urination (dysuria).
Why do healthcare providers perform cystoscopies?
Urologists use cystoscopies to identify and treat issues in the urinary tract. An endoscopy can identify:
- urethral cancer or bladder cancer.
- bladder management issues.
- prostate growth (benign prostatic hyperplasia).
- urinary fistulas and urethral strictures.
A cystoscope may also be utilized by your doctor for the following purposes:
- Obtain ureteral sample urine (the ducts that carry urine from the kidneys to the bladder).
- For an X-ray procedure that monitors urine flow, inject dye.
- To stop urine leakage, inject a medicine.
- An previous treatment involved the placement of a ureteral stent, a small tube that keeps the ureter open.
- Remove any polyps, tumors, abnormal tissue, or bladder stones.
- Take a biopsy using a few tiny pieces of bladder or urethral tissue (examine in a lab).
- Treat urethral fistulas or strictures (narrowing) (holes that form between two areas).
What are the types of cystoscopies?
The cystoscope comes in two varieties. The one that works best for your particular treatment will be chosen by your healthcare professional.
- These cystoscopes are rigidthey don’t bend. The tube may be used by your doctor to insert tools for biopsies or tumor removal.
- Flexible: To check the bladder and urethra from the inside and make a diagnosis, your doctor may use a bendable scope.
What does retrograde pyelography not indicate?
Contraindications. Retrograde pyelography has no absolute contraindications. In contrast to intravenous pyelography, it can be performed on people with impaired renal function.
A retrograde pyelogram is what?
An imaging examination called a retrograde pyelogram employs X-rays to examine your bladder, ureters, and kidneys. The lengthy tubes that link your kidneys and bladder are called ureters. The cystoscopy procedure typically includes this test. It makes use of an endoscope, which is a lit, long tube. The doctor performing the cystoscopy has the option of directly injecting contrast dye into the ureters. On an X-ray, the contrast makes certain bodily components appear more distinct. Anesthesia is used during the examination.
Which of the following conditions does an intravenous pyelogram work best to identify?
Urinary tract problems can be diagnosed with the aid of an IVP. Among them are kidney stones. renal cysts.
What does the term “pyelogram” mean?
Pay attention to how it sounds. (IN-truh-VEE-nus PY-eh-LAH-gruh-fee) A process in which blood vessels are injected with a substance that appears on x-rays, and then regular x-ray images of the kidneys, ureters, and bladder are taken.
What does the surgical term “retrograde” mean?
Retrograde intrarenal surgery (RIRS): Using a fiberoptic endoscope as a viewing device, retrograde intrarenal surgery (RIRS) involves doing surgery inside the kidney.
In RIRS, the scope is inserted into the bladder through the urethra (the urinary opening), and then through the ureter into the kidney’s urine-collecting portion. As a result, the scope is advanced retrogradely (up the urinary system) to a location inside the kidney (intrarenal).
A stone may be removed using RIRS. Through the scope, the stone can be observed and handled, such as by using an ultrasound probe to crush it, a laser probe to evaporate it, a pair of tiny forceps to capture it, etc.
A urologist (endourologist) with specialized training in RIRS performs the procedure. Typically, either general or spinal anaesthetic is used during the surgery.
The benefits of RIRS over open surgery include a faster resolution of the issue, the elimination of protracted postoperative pain, and a significantly quicker recovery.