Retrograde Pyelogram

Subject: Medical and Surgical Nursing I (Theory)

Overview

An x-ray technique called a retrograde pyleograde makes it possible to see the kidney pelvis, ureters, and bladder. This test is typically carried out as part of a procedure called cystoscopy, which involves viewing the bladder through an endoscope. When a person is suspected of having an obstruction, such as a tumor, stone, blood clot, or stricture in the kidney or ureters, a retrograde pyelogram may be used. It assesses the lower part of the ureters where the obstruction to urine flow is present. The arm or hand may be used to introduce an intravenous line. Before inserting the endoscope, give a sedative or general anesthetic through the IV.

Retrograde Pyelogram

The bladder, ureters, and renal pelvis can all be seen on an x-ray during a retrograde pyelogram. Typically, a procedure termed cystoscopy—evaluation of the bladder with an endoscope—is used to perform this test. Contrast dye, which helps improve the x-ray image, can be injected into the utters during a cystocopy via a catheter.

Purposes

  • When a person is suspected of having an obstruction, such as a tumor, stone, blood clot, or stricture in the kidney or ureters, a retrograde pyelogram may be used.
  • It assesses the lower part of the ureters where the obstruction to urine flow is present.
  • It is also used to assess where a catheter or ureteral stent should be inserted.

Procedure

  • Give the patient a gown to wear and ask them to take off any clothing, jewelry, or other anything that might get in the way of the treatment.
  • The arm or hand may be used to introduce an intravenous line.
  • Before inserting the endoscope, give a sedative or general anesthetic through the IV.
  • Through the urethral opening, an endoscope will be introduced and advanced into the bladder. A catheter may be put into one or both ureters after the endoscope has been positioned so that the bladder can be inspected.
  • The catheters will be used to administer the contrast dye.
  • At predetermined intervals, a series of x-rays will be taken.

We'll get rid of the catheter. The doctor will assess if the contrast dye has been retained.

References

  • cancer.net › Navigating Cancer Care › Diagnosing Cancer › Tests and Procedures
  • essentiahealth.org/main/health-library1.aspx?subtopicid=30936
  • medcentral.org/Main/StaywellProducts.aspx?taxonomy=UrologySw2
  • radiologyinfo.org/en/info.cfm?pg=ureteralnephro
Things to remember
  • An x-ray technique called a retrograde pyleograde makes it possible to see the kidney pelvis, ureters, and bladder.
  • It assesses the lower part of the ureters where the obstruction to urine flow is present.
  • It is also used to assess where a catheter or ureteral stent should be inserted.
  • The arm or hand may be used to introduce an intravenous line.
  • Give the patient a gown to wear and ask them to take off any clothing, jewelry, or other anything that might get in the way of the treatment.
  • At predetermined intervals, a series of x-rays will be taken.
  • We'll get rid of the catheter. The doctor will assess if the contrast dye has been retained.
Questions and Answers

An x-ray technique called a retrograde pyleograde makes it possible to see the kidney pelvis, ureters, and bladder. This test is typically carried out as part of a procedure termed cystoscopy, which involves viewing the bladder using an endoscope. Contrast dye, which helps improve the x-ray image, can be injected into the utters during a cystocopy via a catheter.

Purposes:

  • When a person is suspected of having an obstruction, such as a tumor, stone, blood clot, or stricture in the kidney or ureters, a retrograde pyelogram may be used.
  • It assesses the lower part of the ureters where the obstruction to urine flow is present.
  • It is also used to assess where a catheter or ureteral stent should be inserted.

An x-ray technique called a retrograde pyleograde makes it possible to see the kidney pelvis, ureters, and bladder. This test is typically carried out as part of a procedure called cystoscopy, which involves viewing the bladder through an endoscope. Contrast dye, which helps improve the x-ray image, can be injected into the utters during a cystocopy via a catheter.

Purposes:

  • When a person is suspected of having an obstruction, such as a tumor, stone, blood clot, or stricture in the kidney or ureters, a retrograde pyelogram may be used.
  • It assesses the lower part of the ureters where the obstruction to urine flow is present.
  • It is also used to assess where a catheter or ureteral stent should be inserted.

Procedure:

  • Give the patient a gown to wear and ask them to take off any clothing, jewelry, or other anything that might get in the way of the treatment.
  • The arm or hand may be used to introduce an intravenous line.
  • Before inserting the endoscope, give a sedative or general anesthetic through the IV.
  • Through the urethral opening, an endoscope will be introduced and advanced into the bladder. A catheter may be put into one or both ureters after the endoscope has been positioned so that the bladder can be inspected.
  • The catheters will be used to administer the contrast dye.
  • At predetermined intervals, a series of x-rays will be taken.
  • We'll get rid of the catheter. The doctor will assess whether the contrast dye has been retained.

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