This document summarizes an intravenous pyelogram (IVP) medical imaging procedure. An IVP involves injecting contrast dye into a patient's vein and taking a series of x-ray images over time to examine the kidneys, ureters, and bladder. Images are taken immediately after injection and at 5, 15, 30, and 45 minutes to view different phases of the urinary tract. An IVP can show the size, shape and position of the urinary system and detect any issues like infections, stones, or tumors. The test requires fasting beforehand and has some limitations but provides detailed anatomy of the kidneys and collecting systems in a generally low-cost manner.

1. Presentation on
“Intravenous
Pyelogram”M Umair
4thYear MBBS
JSMU

2. IVP
✓An intravenous pyelogram (IVP) is
a special x-ray examination of the
kidneys, bladder, and ureters
✓It is also called Intravenous
Urogram
✓An Intravenous Pyelogram can
show the size, shape, and position
of the urinary tract, and it can
evaluate the collecting system
inside the kidneys.
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3. How it is
performed
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❖During Intravenous Pyelogram, a dye called
contrast material is injected into a vein into the
patients arm.
❖A series of X-ray pictures is then taken at timed
intervals.
❑ Immediate (Nephrogram phase)
❑ 5 min (Secretory phase)
❑ 15 min film with compression producing
calyceal distension
❑ 30 min film (Ureterogram phase)
❑ 45 min film (Cystogram phase)
❑ Post voiding film
✓ The test should be done in a X Ray Department where a doctor is
available as on occasions the contrast can cause severe reactions
which may lead to medical emergencies.

4. 4
✓The patient may need to be fasting
for 8 to 12 hours before the
Intravenous Pyelogram.
✓Patient must be de hydrated
✓The Patient also may need to take a
laxative the evening before the test
and possibly have an enema the
morning of the test to make sure that
the bowels are empty

5. Indications
of IVP
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✓An abdominal injury.
✓ureteric fistulas and
strictures
✓Bladder and kidney
infections.
✓Blood in the urine.
✓Flank pain (possibly
due to kidney stones).
✓Tumors.

6. Advantages
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❑Detailed anatomy of
the collecting
systems
❑Demonstration of
major calcification
❑Sensitive for acute
obstruction
❑Low cost

7. Limitations
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➢It depends on kidney function
➢Do not differentiate solid or cystic
lesion
➢Requires contrast medium and
radiation.
➢Missing small stones.
➢Quality of study may be limited by
inadequate bowel preparation,
bowel ileus, swallowed air and
technician variability
➢inconvenience of a long filming
sequence

8. Contraindications
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✓Contrast allergy
✓Hepato-renal syndrome
✓Thyrotoxicosis
✓Pregnancy
✓Raised serum creatinine

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“Life is the matter of time”
Umair Majeed