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Tips and Tricks for Performing a Retrograde Pyelogram.

Tessa E Krantz1, Scott C McFerren1, Julie M Riley1

  • 1Department of Urology and Division of Urogynecology, University of New Mexico Health Science Center, Albuquerque, NM.

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|April 9, 2019
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Summary
This summary is machine-generated.

Retrograde pyelogram is a valuable tool for identifying ureteral injuries, obstructions, and other issues. This procedure aids in diagnosis and treatment, especially when urologists are unavailable.

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Area of Science:

  • Urology
  • Diagnostic Imaging

Background:

  • Retrograde pyelogram involves injecting contrast into the ureter and kidney collecting system under fluoroscopic guidance.
  • Indications include iatrogenic ureteral injuries, obstruction, stones, tumors, stent placement, ureteroscopy, and trauma.

Purpose of the Study:

  • Demonstrate indications for retrograde pyelogram.
  • Review essential tools and techniques.
  • Illustrate normal and abnormal findings.

Main Methods:

  • Procedure involves retrograde contrast injection into the urinary tract.
  • Performed under fluoroscopic guidance in an operative setting.
  • Cases reviewed include normal and abnormal findings, with some utilizing anterograde nephrostogram.

Main Results:

  • Review of 8 cases showcasing normal and abnormal findings.
  • Demonstration of complications during retrograde pyelogram.
  • Anterograde nephrostogram used for further delineation in select cases.

Conclusions:

  • Tips and tricks enhance surgical technique for successful retrograde pyelogram.
  • Facilitates identification of abnormalities, aiding diagnosis and treatment.
  • Useful in situations where urologist availability is limited.