What is Intravenous Urography
This is an X-ray examination of the kidneys, ureters and bladder. Intravenous injection of contrast medium will be excreted by the urinary system. Radiographs taken afterwards can reveal the morphology of different parts of the system.
Indication
Suspected kidney or urinary tract pathology.
Patient Preparation
· Patient shoul davoid eating high fiber diet 2 days before the examination (eg. vegetable, fruit or cereal).
· Patient should take the laxative tablets as instructed for bowel preparation.
· No food for 4 hours before examination, but water may be allowed.
· Your doctor will need to know if you are an allergic individual e.g. - history of known drug allergy especially contrast medium, history of known food allergy, history of asthma, urticaria, eczema or allergic rhinitis, to arrange antihistamine/steroid cover prior to the exam.
Procedure
The patient will lie on the x-ray table. A contrast medium (iodine compound) will be injected intravenously. Patient may feel flushing or nauseated during injection.. These are mild normal reactions, which are transient lasting 1 or 2 minutes.
Radiographs of the kidneys and urinary tract will be taken at different time intervals. Usually the examination should be completed in approximately 1½ hour. Sometimes the examination can be extended to half day or even 1 day if there is obstruction in the urinary tract. Patient should allocate enough time for these situations.
After the Examination
The patient can leave the department immediately after the examination. He/She can resume normal diet and fluid intake. In the unlikely circumstance in which there is any discomfort after leaving the department, the patient should attend the nearest Accident & Emergency Department or our Out-Patient clinic.