Lxcretory Urography

(Intravenous y|ogram IV)

lndlcaLlons
- 1o evaluaLe Lhe presence or conLlnulng presence of suspecLed or known ureLeral obsLrucLlon
- 1o assess Lhe lnLegrlLy of Lhe urlnary LracL sLaLus posL Lrauma (lncludlng laLrogenlc lnLervenLlons)
parLlcularly ln slLuaLlons ln whlch crosssecLlonal lmaglng ls unavallable or lnapproprlaLe
- 1o assess Lhe urlnary LracL for suspecLed congenlLal anomalles parLlcularly ln slLuaLlons ln whlch cross
secLlonal lmaglng ls unavallable or lnapproprlaLe
- 1o assess Lhe urlnary LracL for leslons LhaL may explaln hemaLurla or lnfecLlon ln parLlcular Lu may be
used Lo evaluaLe for an underlylng parenchymal mass or may be used Lo evaluaLe for a leslon of Lhe
uroLhellal LracL ln seLLlngs ln whlch crosssecLlonal lmaglng ls unavallable or lnapproprlaLe
aLlenL reparaLlon

1 As wlLh all xray procedures Lell your healLh care provlder lf you
O Are allerglc Lo conLrasL maLerlal
O Are pregnanL
O ave any drug allergles
2 ?our healLh care provlder wlll Lell you wheLher you can eaL or drlnk before Lhls LesL
3 ?ou may be glven a laxaLlve Lo Lake Lhe afLernoon before Lhe procedure Lo clear Lhe lnLesLlnes
so your kldneys can be clearly seen
4 ?ou musL slgn a consenL form ?ou wlll be asked Lo wear a hosplLal gown and Lo remove all
[ewelry

rocedure 1he paLlenL should be fasLlng and well purged ln order Lo avold obscurlng lnLesLlnal gas
and sLool on Lhe radlographs llrsL a renal scouL (plaln) fllm ls made ln suplne poslLlon wlLh an
empLy bladder ln anLerlorposLerlor pro[ecLlon 1hls lmage should lnclude Lhe compleLe urlnary LracL
from Lhe superlor pole of Lhe kldneys Lo Lhe upper margln of Lhe symphysls 1hen lonlc conLrasL ls
admlnlsLered whlch ls excreLed vla Lhe kldneys ln concenLraLed form ln Lhe followlng lmages
Lhe conLrasL medlum wherever lL ls ln Lhe beam pro[ecLlon parLlally or compleLely prevenLs Lhe xray
fllm from Lurnlng black usually Lhe flrsL plcLure ls Laken 310 mlnuLes afLer conLrasL admlnlsLraLlon and
Lhe second one 10 mlnuLes LhereafLer rlor Lo Lhe second lmage Lhe bladder has Lo be empLled agaln ln
order Lo evaluaLe Lhe resldual urlne volume ln cases of dralnage delays any number of delayed lmages
can be Laken 1o clarlfy cerLaln quesLlons furLher LargeL vlews or obllque lmages can be Laken

Flgure 1. Excretory urogruphy of cuses E13 (wlthln 2 weeks ufter the operutlon). Functlon of the operuted
kldney wus well preserved. No urlnury leukuge wus noted.