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Doctor insights on: Retrograde Urogram

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I was recently diagnosed with mild hydronephrosis by an ultra sound. Scheduled to have avCT Urogram. How accurate was the ultra sound? I tested posit

I was recently diagnosed with mild hydronephrosis by an ultra sound. Scheduled to have avCT Urogram. How accurate was the ultra sound?  I tested posit

Mild hydronephrosis: Usually requires no further investigation that follow-up US in 3 - 6 months, unless you have symptoms such as pain or suspected mass. Mild hydronephrosis, if found incidentally, has likely been there all your life & requires no treatment. CT urogram is very expensive & likely unnecessary unless a reputable specialist explains why it is. Many PCPs do not understand grades of hydronephrosis! ...Read more

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On a recent urogram, it came back as 11mmx8 mm a ureteral malignancy can not be excluded. Could a prior uterine reflux procedure be the cause of this?

On a recent urogram, it came back as 11mmx8 mm a ureteral malignancy can not be excluded. Could a prior uterine reflux procedure be the cause of this?

Unlikely: The ureter runs from the kidney to the urinary bladder. It is not connected to the uterus. "Cannot exclude a malignancy" only means that there is an "indeterminate" abnormality, the radiologist is not sure what it is. Your doctor will probably want to look further into this, but it is not likely to be related to the reflux procedure. ...Read more

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How do a plain CT of the kidneyand bladder, and a CT urogram differ?

Contrast: A plain ct looks for stones. A ct urogram uses IV contrast (dye) to better evaluate the renal pelvis and ureter (the "tube" connecting your kidneys to your bladder). These structures are not well seen without contrast. ...Read more

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Why doesnt a MRI show deflux material from a prior VUR and a CT Urogram does? I thought MRI's are more in depth?

Different tests: An MRI uses an atom's response to a strong magnetic field. A CT uses X-rays. The X-rays won't pass through the contrary, so it creates a shadow. No such effect occurs because of the magnetic field. ...Read more

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I had a cystoscopy, the doctor said everything is normal but we will have CT urogram, if everything is normal why the CT urogram should be done?

Evaluate other areas: Cystoscopy and cystoureteroscopy are very good at looking at the inside of the bladder, ureters and renal collecting systems. Ct urogram looks there as well, but also evaluates the "outsides" (the parts that cannot be seen with a scope) of these structure and the other structures in the abdomen and pelvis. ...Read more

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Had routine ct's with contrast and without, for kidney stones. Now they want to send me for a CT urogram. What is the difference?

Had routine ct's with contrast and without, for kidney stones. Now they want to send me for a CT urogram. What is the difference?

Contrast: A plain ct looks for stones. A ct urogram uses IV contrast (dye) to better evaluate the renal pelvis and ureter (the "tube" connecting your kidneys to your bladder). These structures are not well seen without contrast. A greater amount of contrast is used in a urogram than normal contrast ct to better fill these structures. ...Read more

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Will a CT Urogram show recent kidney infections or stones that passed?

Will a CT Urogram show recent kidney infections or stones that passed?

No: No, stones that passed out of the body are gone. It will show any remaining stones. There may temporarily be some residual signs of the obstruction caused by the stone, however. Also, if an infection has resolved, the CT might temporarily show some residual signs of the infection, but will otherwise be normal unless the infection resulted in scarring of the kidney. ...Read more

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Would Deflux material which is injected under the L ureter where it enters the bladder show up on a CT urogram as a possible ureteral malignancy?

Would Deflux material which is injected under the L ureter where it enters the bladder show up on a CT urogram as a possible ureteral malignancy?

Can create confusion: On CT, Deflux is fluid density & occasionally can calcify creating confusion with ureterocele or distal ureteral stone at the bladder base ureterovesicular junction. If the ct urogram (workup for hematuria) interpreting radiologist is not aware of this pertinent history of prior injection, it may create some confusion in interpretatation. Make sure to Inform the radiologist about this history! ...Read more

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