Ivp presentation for urology ward

In this presentation I have presented the Intravenous pyelogram procedure and is basics, you can present it in your universities

1. Presentation on
“Intravenous
Pyelogram”
M Umair
4
th
YearMBBS
JSMU

2. IVP
✓An intravenous pyelogram (IVP) is
a special x-ray examination of the
kidneys, bladder, and ureters
✓It is also called Intravenous
Urogram
✓An Intravenous Pyelogram can
show the size, shape, and position
of the urinary tract, and it can
evaluate the collecting system
inside the kidneys.
2

3. How it is
performed
3
❖During Intravenous Pyelogram, a dye called
contrast material is injected into a vein into the
patients arm.
❖A series of X-ray pictures is then taken at timed
intervals.
❑Immediate (Nephrogram phase)
❑5 min (Secretory phase)
❑15 min film with compression producing
calyceal distension
❑30 min film (Ureterogram phase)
❑45 min film (Cystogram phase)
❑Post voiding film
✓The test should be done in a X Ray Department where a doctor is
available as on occasions the contrast can cause severe reactions
which may lead to medical emergencies.

4. 4
✓The patient may need to be fasting
for 8 to 12 hours before the
Intravenous Pyelogram.
✓Patientmustbedehydrated
✓The Patient also may need to take a
laxative the evening before the test
and possibly have an enema the
morning of the test to make sure that
the bowels are empty

5. Indications
of IVP
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✓An abdominal injury.
✓ureteric fistulas and
strictures
✓Bladder and kidney
infections.
✓Blood in the urine.
✓Flank pain (possibly
due to kidney stones).
✓Tumors.

6. Advantages
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❑Detailed anatomy of
the collecting
systems
❑Demonstration of
major calcification
❑Sensitive for acute
obstruction
❑Low cost

7. Limitations
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➢It depends on kidney function
➢Do not differentiate solid or cystic
lesion
➢Requires contrast medium and
radiation.
➢Missing small stones.
➢Quality of study may be limited by
inadequate bowel preparation,
bowel ileus, swallowed air and
technician variability
➢inconvenience of a long filming
sequence

8. Contraindications
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✓Contrast allergy
✓Hepato-renal syndrome
✓Thyrotoxicosis
✓Pregnancy
✓Raised serum creatinine

9. 9
“Lifeisthematterof time”
Umair Majeed