TESTS AND PROCEDURES

Intravenous Pyelogram (IVP)

March 15, 2019

Intravenous Pyelogram (IVP)

Technician preparing woman for x-ray.An intravenous pyelogram (IVP) is an X-ray exam of your urinary tract (kidneys, ureters, and bladder). This test can help find stones or other problems with your urinary tract.

How do I prepare for an IVP? 

  • Follow all instructions on what to eat and drink before the test.

  • If instructed, take a laxative the night before your IVP.

  • Allergies, especially to iodinated intravenous (IV) contrast (a substance that improves X-ray images). You can still have an IVP if you are allergic to the contrast substance, but you will need to take a medicine beforehand.

  • Previous kidney or bladder problems.

  • Diabetes medicine you take.

  • Any previous surgery.

  • If you are or may be pregnant.

What are the risks of an IVP?

Risks associated with IVP include:

  • Radiation exposure

  • Reaction to the contrast substance, which may be mild (itching, hives, nausea) or severe (difficulty breathing, swelling of the throat, drop in blood pressure)

  • Worsening of kidney damage

What happens during an IVP? 

  • Your healthcare provider will give you an intravenous (IV) injection of contrast. 

  • You’ll be asked to move from side to side and then hold still as X-rays are taken.

  • Your healthcare provider may apply pressure to your belly to help get the best images.

  • You may be asked to empty your bladder before the final X-ray.

Your test results

Your doctor will discuss the test results with you during a follow-up visit or over the phone.

Your next appointment is: _________________

Updated:  

March 15, 2019

Sources:  

McDonald, JS. Frequency of Acute Kidney Injury Following Intravenous Contrast Medium Administration: A Systematic Review and Meta Analysis

Reviewed By:  

Brown, Kim, APRN,Sudheendra, Deepak, MD