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Intravenous pyelogram - Risks

Alternative Names

Excretory urography; IVP

What the risks are:

There is a chance of an allergic reaction to the dye, even if you have received contrast dye in the past without any problem. If you have a known allergy to iodine-based contrast, an alternate test should be performed. Alternatives include retrograde pyelography, MRI, or ultrasound.

There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most experts feel that the risk is low compared with the benefits.

Pregnant women and children are more sensitive to the risks of radiation.

Special considerations:

Computed tomography (CT) scans has replaced IVP as the main tool for checking the urinary system. CT takes less time to perform and provides additional views of the abdomen, which can help rule out other possible reasons for the patient's symptoms. Magnetic resonance imaging (MRI) is also used to look at the kidneys, ureters, and bladder.

  • Reviewed last on: 10/2/2008
  • Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Norrby SR. Approach to the patient with urinary tract infection. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 306.

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