What Is a Retrograde Pyelogram?

Applies to:
(1) Those who are not satisfied with routine intravenous pyelography.
(2) Patients who are not suitable for intravenous pyelography, such as those with abnormal heart, liver and kidney function and iodine allergy.
(3) To observe the anatomy of the urinary tract in detail.
(4) Determine if there is a mass lesion in the urinary tract of the hematuria patient.
(5) Determine the relationship between dense abdominal calcification on plain film and urinary tract.

Retrograde angiography of the renal pelvis by X-ray examination
Name
Retrograde pyelography
category
X-ray

Normal retrograde pyelography

Applies to:
(1) Those who are not satisfied with routine intravenous pyelography.
(2) Patients who are not suitable for intravenous pyelography, such as those with abnormal heart, liver and kidney function and iodine allergy
(3) To observe the anatomy of the urinary tract in detail.
(4) Determine if there is a mass lesion in the urinary tract of the hematuria patient.
(5) Determine the relationship between dense abdominal calcification on plain film and urinary tract.

Clinical significance of retrograde pyelography

Retrograde pyelography has the advantage of clear development and is not affected by the secretory function of the kidney. The disadvantage is that it is prone to urinary system infection, so it is mostly used as a selective application.

Notes on retrograde pyelography

(1) Antibiotics are routinely applied after angiography to prevent infection.
(2) Antispasmodic and analgesic drugs can be applied when the pain is intolerable.
(3) Hemostasis can be applied when hematuria is severe.

Retrograde pyelography related diseases

Pediatric renal venous thrombosis, renal medullary cystic disease, renal ptosis, nephrolithiasis, renal insufficiency, renal tuberculosis, acute pyelonephritis, renal pelvis cancer, urogenital mycosis, urinary stones in the elderly

Symptoms of retrograde pyelography

Hematuria after exercise, fingernail loss, ureteral stenosis, lumbar mass, thinning or obstruction of internal renal artery, urinary incontinence, enuresis, low back pain, proteinuria, chyluria
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