Retrograde Urography (SURG SEM. 3)

Retrograde Urography

non-functional exam of the urinary system (because of being retrograde/ against normal flow)

why performed?

• usually looking at location of potential stones/cancaliculi

• find obstructions

• to study renal pelvis and calyces for signs of infection or structural defect

mainly looking at

• renal pelvis

• constrast filled minor calyces

• constrast filled major calyces

• ureter

equiptment used

designated urology room

portable

c-arms

surgical equiptment used

• sterile items

• different tubings

• saline

variety of scopes: cystoscopes

• flex scopes- can go different directions

• stiff scopes- all metal, long and short ones

procedure summary

• tech will be in surgical scrubs and ensures c arm is functional and clean

• PT placed in modified lithotomy position, with legs in stirrups

• the urologist inserts a cystoscope through urethra into bladder

• after examining the inside of bladder, the urologist inserts ureteral catheters into one or both ureters

• after cath, img commences

pt position

• supine, legs in stirrups

• hips at end of bed and arms over chest or at sides

• pts kidneys must be below the center column of the table

c arm approach

• at 90* from patient midline

• centered over pt bladder

• leave space to move up kidney

pre procedure

1. make sure equipment works and is in the right place

2. enter patient info

3. detent tube to the image intensifier

4. center for KUB, or bladders/kidneys w/ c arm

room set up

verify patient

c arm power sequence

• turn on c arm

• plug monitor cable into c arm

• plug cord from monitor into wall outlet

• turn on power button

• turn off c arm

• put c arm in park

• turn power button off

• disconnect cord from outlet

• disconnect cable to c arm

c arm set up

on pt’s right side- both R’s

On the pt’s left side- no R’s

we provide ________ images and get ______ pictures for the surgeons: TECH ROLE

diagnostic, best

pyelogram = being _______

filled (3-5mL of contrast)