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Intravenous Pyelogram


Why is this procedure done?


An intravenous pyelogram is also known as an IVP. It lets your doctor look at your kidneys and urinary tract. Your kidneys are bean-shaped organs in the back of your belly, just above your waist. Small tubes, called ureters, join the kidneys to your bladder, which is the sac where the urine collects. Your bladder is found in the middle part of your belly near the bottom. The urine leaves your bladder through a tube called the urethra to the outside of your body. ‚  
The doctor uses x-rays and a special dye to see all of these parts of your body. The doctor may look for any changes like: ‚  
  • The size and shape of your kidneys
  • Any signs of harm to your kidneys
  • Kidney or bladder stones
  • Cysts, tumors, or other blockages
  • Blood flow to your kidneys
  • Problems from a urinary tract infection
  • Changes in your ureters or bladder


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What will the results be?


The doctor will have a clear picture of the kidneys and urinary tract to find out what may be causing your problems. ‚  

What happens before the procedure?


  • Tell your doctor if you are pregnant or you think you are pregnant.
  • Tell the doctor if you have an allergy to any test dye.
  • Your doctor will do an exam and may order other tests to see how well your kidneys are working.
  • Your doctor will take your history. Talk to the doctor about:
    • All the drugs you are taking. Be sure to include all prescription and over-the-counter (OTC) drugs, and herbal supplements. Tell the doctor about any drug allergy. Bring a list of drugs you take with you.
    • Any bleeding problems. Be sure to tell your doctor if you are taking any drugs that may cause bleeding. Some of these are Coumadin, ibuprofen, Aleve (naproxen), or aspirin. Certain vitamins and herbs, such as garlic and fish oil, may also add to the risk for bleeding. You may need to stop these drugs as well. Talk to your doctor about them.
    • If you need to stop eating or drinking before your procedure.
  • Your doctor may give you a laxative the night before the test so you are clear of any stool that might keep the doctor from seeing the kidneys.

What happens during the procedure?


  • The staff will put an IV in your arm to give you the x-ray dye.
  • The doctor will ask you to pass urine before the test.
  • You will lie on your back on an exam table and the staff will take an x-ray.
  • The dye will be given through your IV, which allows your kidneys, urinary tubes, and bladder to show up on the x-ray. It travels through your blood to your kidneys and urinary tract. You may have a flushing or warm sensation when the dye is given. You may also have a metallic taste in your mouth. Both of these are normal and will go away in a few minutes. Tell the doctor how you are feeling during the test.
  • Your doctor will take x-rays again at certain times. The doctor can then watch as the dye flows through your kidneys to the ureters and into your bladder.
  • Your doctor will ask you to pass urine again.
  • At the end of the test, you will empty your bladder again. Another x-ray will be taken.
  • The procedure takes 60 to 90 minutes.

What happens after the procedure?


You can go home right after your procedure. Talk to your doctor about when the results will be available. ‚  

What care is needed at home?


  • You may go back to your normal activities and diet when you go home.
  • Drink 6 to 8 glasses of fluids for the next 24 hours. This will help flush any remaining dye from your body. The dye is a clear liquid, so you should not see a color change in your urine.
  • If you have any problems or questions, call your doctor.

What follow-up care is needed?


Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. ‚  

What problems could happen?


  • Allergic reactions to the dye
  • Lightheadedness
  • Upset stomach
  • Itching

Where can I learn more?


American College of Radiology ‚  
http://www.radiologyinfo.org/en/info.cfm?pg=ivp#part_six ‚  
American Urological Association Foundation ‚  
http://www.urologyhealth.org/urology/index.cfm?article=78 ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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