Doctor insights on:
Exactly Retrograde Pyelogram
CT renal exam: A ct without and then with IV contrast may give an accurate evaluation of the kidneys and ureters. Occasionally, small tumors, or stones may only be seen by retrograde pyelography. ...Read more
Pyelogram: Is an invasive procedure in which you place a cystoscope through the urethra, then pass a small catheter through the scope into the opening of the ureter into the bladder and inject contrast material into the kidney to study the anatomy of the drainage system of the kidney and take x.-rays usually under fluoroscopic control. ...Read more
Study of kidneys and: Normally the kidneys and ureters are studied by IVP exam where contrast is injected into veins and excreted by the kidneys. Sometimes, visualizations by this method is inadequate. Thru a cystoscope or ureteroscope, a small catheter is inserted into the ureter and contrast injected into the ureter visualizing it and the renal collecting system, the renal pelvis, thus a retrograde pyelogram ...Read more
Pain: None, or very little and this depends on the expertise of the administering person ...Read more
A picture of pelvis: It is an X-ray picture with dye of the pelvis of the kidneys, either from above or below. From above, dye is infused IV and filtered into kidneys (iv pyelogram) then goes to pelvis of kidneys which is the funnel connection bet a kidney and a ureter. From below means a urologist injects a dye upwards the ureter using a scope then takes the picture (ascending pyelogram). It shows stones or tumors. ...Read more
By injecting dye: When a contrast material is injected into a vein in the patient's arm, it travels through the blood stream and collects in the kidneys and urinary tract, turning these areas bright white on the x-ray images. An ivp allows the radiologist to view and assess the anatomy and function of the kidneys, ureters and the bladder. ...Read more
Unclear: If you mean intravenous pyelogram, then there is no specific preparation but need no heavy breakfast e.g. Clear liquids like juice since I.V. Contrast could cause nausea. But if you mean a retrograde pyelogram, a contrast injected in the urethra and bladder upwards to kidneys by the urologist, then you need to be fasting after midnight to avoid vomiting and aspiration during procedure. ...Read more
Get drunk: Not a great idea. Doubt your doc. Would ok that. ...Read more
Is having an intravenous pyelogram safe safe if I had anaphylactic reaction before if allergic to ivp dye?
Caution!: A previous anaphylactic reaction to iodinated contrast material is a major red flag for future contrast administration. In those rare cases when contrast administration is felt to be essential the patient is put on pre-medication with steroids and be admitted to the hospital but most people would do everything possible to avoid giving any more contrast material. ...Read more
Hi I have done CT scan pyelogram and it shows severe left sided hydroneprosis and a stone of 0.5cm at uv junctoin kindly guide me management of it plz?
Stone: You need to have that stone removed asap, see a urologist. ...Read more
What tests diagnose kidney cancer? My doctor wants me to have an intravenous pyelogram. Is he looking for cancer?
Depends upon cause: Not fixable after prostatectomy or resection of bladder neck. Stop or change drugs which cause re, flomax, (tamsulosin) antihypertensives & some antidepressants. Re from nerve damage from diabetes or multiple sclerosis may respond to imipramine, antihistamines or decongestants like sudafed or ephedrine. Subjects needing to overcome infertility may need assisted reproductive technology to harvest sperm for ai. ...Read more
Medical, IUI or IVF: Retrograde ejaculation can be caused by injury to the nerves through surgery or from diabetes. Medical treatments can sometimes be used to increase the sphincter pressure of the bladder so sperm will come out instead of back. Otherwise, ejaculating, voiding afterward then quickly processing the sample for use with insemination or ivf is necessary. ...Read more
Just let it go: Amnesia is the loss of memory concerning an event. If there is loss of memory for a period of time before the event, it is called antegrade amnesia. If there is loss of memory for a period after the event, it is called retrograde amnesia. There may be some recovery of memory over time, but often there is permanent loss of memory, especially retrograde. This can be a protective effect. ...Read more
Retrograde ejaculation: Retro grade ejaculation is when the muscle that leads into the bladder does not close off during the act of ejaculation. The semen will enter into the bladder and not through the opening of the penis. If the male produces a urine specimen then sperm can be found in the urine. ...Read more
Dry climax: This is often misdiagnosed on history. You have the feeling of an orgasm but no semen comes out -- it goes into your bladder. If this is you, talk with your physician. Or if you have other questions here that would call for a good physical exam, ask your physician. Best wishes. ...Read more
Can if awake: Passage of cystoscope can be uncomfortable or painful, more so for men who should request use of a flexible cystoscope. Kidney pelvis distention can cause flank pain during the retrograde injection of contrast medium. We always do it under general anesthesia for children. Women could request that urologist uses a pediatric cystoscope which is much slimmer + would be much more comfortable. ...Read more
Alpha blockers, TURP:
The most common non surgical cause is the use of Alpha blockers (flomax, (tamsulosin) rapaflo).
The surgical cause is the TURP type of procedures eg. Green light laser, button evaporation or incision of bladder neck. The reason is that in these procedures bladder neck is opened up and semen finds it easier to pass into the bladder than go down a long way into the penis and out. ...Read more