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Intravenous Pyelogram (IVP)

Purpose:
Assesses function of the kidneys with demonstration of the renal parenchama, pelves and calyces, filling/emptying of bladder.  Indications include, but are not limited to:

  • Pyelonephritis
  • Hematuria
  • Kidney donor - to evaluate proper kidney function

Introduction:
An IVP is a procedure looking at the components of your urinary system, including kidneys, ureters and bladder.  Procedure duration: 60-90 minutes.

Patient Preparation:
No solid food for 4 hrs before exam.

If you have to take medications, it is OK to do so, but with only a sip of water.  Take 2 Dulcolax® tablets by mouth the evening before the test. If you do not have a bowl movement in the early morning of the exam, give yourself a Fleet Enema®.  Both Dulcolax® and the Fleet Enema can be obtained over the counter at any drugstore.

Please make sure the tell your doctor or the technologist if you have any allergies to medications, especially to radiology contrast (dye).  If you have had any contrast (dye) reactions in the past you may need to pre-medicate.   In addition, if you have allergies, asthma, heart disease, or other medical problems please make your physician aware of this prior to your visit, as well as your technologists at the time of  your procedure.

If you are 50 yrs or older or diabetic or have a history of kidney disease/failure you need have blood work done.  You must obtain an order from your physician to have a GFR and creatinine level drawn by  the Lab at least 72 hrs prior to your appt.

If you are diabetic and take pills that control your blood sugar, you may have to discontinue your medicaiton the day of your procedure to protect the health of your kidneys.  These medications contain metformin or glucophage.  Check with your physician to determine if you need to do discontinue your diabetes medication.

Upon arrival to the radiology department, you will change into a gown and robe provided by the hospital.  You are required to remove all clothing and jewelry in the abdomen area.  You may keep your under pants on.  Your privacy and comfort will be maintained at all times.

**NOTE:  If you are a woman of childbearing age, the technologist will ask if there is any possibility of pregnancy.

During the Procedure:
A registered technologist(s) will perform the procedure following the directions of a doctor (Radiologist).  Please feel free to ask any questions at any time during your procedure.
 
A technologist will go over some medical history and your medication list with you prior to the procedure.  She/he will explain to you what your procedure requires.  You will be positioned on your back on a flat table with a pad.  

A technologist or nurse will start an IV for the administration of contrast dye.  One or two x-rays / tomograms (where the x-ray tube moves in sync with the film) of your abdomen will be obtained.  The technologist will show the image(s) to the radiologist.  The radiologist will provide the technologist with the amount of contrast dye to give you, what images to take, and when.  

Please note the contrast can make you feel the following normal sensations:  the urge to urinate, warm or flushed in the throat and/or pelvic area, wave of nausea or experience a metallic taste in your mouth.  These feelings should pass a few minutes after the injection.

Once all the contrast has been administered, a series of x-rays will be taken, including tomograms.  These images are timed and there will be some waiting in between. 

The technologist will show all of the x-rays to the radiologist and if there are no more x-rays to be taken, you will be shown to toilet facilities to empty your bladder then another final x-ray will be taken.

Once the procedure is complete, the technologist will provide discharge instructions in both verbal and in written form.  You will be escorted to the changing room to dress and then out of the department through reception.

Post-procedure Information:
The radiologist (doctor) will read the images and dictate a report.  Your physician will receive a report of the findings within 2 business days and should advise you of the results.  Be sure to follow the discharge instructions given to you after your procedure.

***Important*** Drink plenty of water (8-10 cups/day) for a few days following the procedure to flush the contrast dye.  The contrast dye is colorless and leaves the body as you urinate.

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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100