Frequent questions He asks the doctor Beginning  
UROGRAFÍA
DENOMINATION TECHNICAL DEFINITION RISKS CONTRAINDICATIONS UTILITY TURNED OUT TO CONSULT

OTHER NAMES

  • Urografía endovenosa,
  • I study urográfico.

DEFINITION

An intravenous urografía is a radiological exploration in which, after injecting an intravenous contrast that is eliminated by the urine, there can be realized different radiographies of the kidney and his system excretor (uréteres, urinal bladder), visualizing the form of the kidneys and uréteres as well as his correct functioning.

For it one is necessary a device of x-rays, which are a form of electromagnetic radiation (like a light), they have a big energy and for it they can penetrate across the human body and produce an image in a photo badge. In this step the radiations are modified and by it, on having passed for dense structures for the bone in the badge, a white tone will appear, if it crosses structures with air a black tone appears. Between both thickness different tones can appear of gray, depending on the thickness of the structure crossed by the bundles of x-rays.

Thus there will happen a two-dimensional image of the structures of the kidney, uréteres and urinal bladder, with different tones of the black to the white person separating structures and delimiting textiles.

Since an iodized contrast way is used (I remove I darken) we will be able to see of sequential form the step of this contrast differentiating the size and the speed of excretion of the same one in both kidneys.

It is used like way of diagnosis of different alterations that they affect to the urinal system, from malformations up to obstructions of the same one.

HOW IS IT REALIZED

Previously to the achievement of the urografía they will explain to him of that there consists the procedure, his advantages and risks. They will ask him that once informed, firm a sheet of informed assent.

Approximately 48 hours earlier it must consume a diet poor in residues, and abundantly in liquids.
It must be on an empty stomach from the previous night.

Also they will indicate him like proceeding to the cleanliness of the colon the previous day by means of the ingestion of an evacuating product or an enema of cleanliness.

The urografía is carried out in a x-rays room, with the patient naked and knocked down in a stretcher. Initially a radiography of the abdomen is done without contrast. Next, the contrast will be injected into a vein, and several radiographies will be practised on him in different time intervals.

Immediately after the injection of the intravenous contrast there takes a radiography, which will show clearly the interior and outline of the kidneys to value his size, form and position. Later new radiographies are realized to 5, 15 and 30 minutes.

The exploration usually lasts about 30 minute.

A technician realizes it in radiology and a medical specialist in Radiodiagnóstico visualizes the images and expresses a report. If during the exploration anomalies are observed, it is possible that the radiologist decides to realize more badges and the study gets longer.

Later to the test it is possible to realize a normal life.

RISKS

It is possible to notice famine and be for having been on an empty stomach during previous 12 a.m.
It can notice inconveniences for the application of the prick in the vein.
When they inject the contrast it can notice heat in the face or generalized by the body. There are persons who notice morning sickness, vomiting, or headache during the exploration.

If the patient is allergic to the contrasts (to the iodine) he can suffer an allergic reaction, which can be from light to important. If the patient knows this type of allergy he must communicate it before the test. If it does not know it it will not be foreseeable, but in the rooms where the urografía is realized there is material destined to treat this problem and the technical personnel it is trained to tackle these complications.

At present there are used contrasts of low thickness that provoke less reactions, and with the suitable preparation the possible problems have descended drastically.

CONTRAINDICATIONS

  • Serious dehydration.
  • Shock.
  • Allergy to the contrast way.

WHY IS IT REALIZED

It is used to evaluate several problems in the kidneys and urinary tract:

  • To evaluate renal infections
  • Study of the blood appearance in the urine
  • Study of renal litiasis (stones in the kidney)
  • Renal tumors or of the urinary tract
  • Renal traumatism.

ABNORMAL FINDS

When we have an abnormal urografía it can be for:

  • Renal Ateromatosis
  • Cancer of kidney, pelvis, uréter, urinal bladder
  • Prostate cancer
  • Occlusion of renal arteries
  • Glomerulonefritis
  • Benign prostate Hiperplasia
  • Hidronefrosis (I joined or bilateral)
  • Pielonefritis
  • Kidney poliquístico
  • Renal traumatism

WHAT DOCTOR CAN TREAT ME?

To look a specialist Service offered for
Writing: Medical equipment   Update: June, 2009


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