Radiology

IVP (Intravenous Pyelogram)

Please be sure to read our general information about fluoroscopy before exploring the details about this procedure.

What is an IVP (intravenous pyelogram)?

What should you do prior to the exam?

What should you do when you arrive?

What should you expect during the exam?

What should you do after the exam?

Test results

What is an IVP (Intravenous Pyelogram)?

An IVP, or intravenous pyleogram, will evaluate your child's kidneys, ureters and bladder. This fluoroscopic study shows the basic anatomy and how the urinary system functions and drains.

The study is obtained through the use of x-rays and a contrast agent introduced through an IV.

What should you do prior to the exam (preparations)?

The following preparations must be followed to obtain proper visualization of the kidneys:

If your child has a noted allergy to radiographic contrast, additional preparations may be necessary.

Dress your child comfortably, in clothes that are easily removed. Your child will be given a gown to change into for the procedure.

You may want to bring a snack or drink for your child to have after the exam

Note: Parents will be allowed to accompany the child into the exam room, other arrangements should be made for siblings.

Women who are pregnant or may be pregnant will be asked to leave the exam room during the procedure. Please make sure that there is someone else available to accompany the child during the exam, if needed.

What should you do when you arrive for the exam?

If your appointment is scheduled at the Main Hospital:

You must check in to Outpatient Registration, on the third floor of the Main Hospital, one hour prior to your scheduled appointment. This is where your registration process occurs.

The law requires that you bring with you a prescription from your doctor's office stating the exam to be done and the reason for it.

If your insurance requires you to have a referral, it must be presented at the time of registration. Proof of insurance will also need to be provided at this time.

Once the registration process is completed, the Nursing Station will be notified. A nurse will come out to the central registration area and bring you and your child to the central nursing station.

If your appointment is scheduled at the Pediatric Imaging Center at King of Prussia:

You must check in at the main registration desk, located in the main waiting room, 1 hour prior to your scheduled appointment. This is where your registration process occurs.

The law requires that you bring a prescription from your doctor's office stating the exam to be done and the reason for it.

If your insurance requires a referral, it must be presented at the time of registration. Proof of insurance will also need to be provided at this time.

Once the registration process is completed, you will be directed to the Radiology waiting room. A Nurse will be notified and will come out and bring you and your child to the central nursing station.

What should you expect during the exam?

A nurse will first obtain your child's weight and allergy history. This is important information to help us determine the amount of contrast material that will be given. The nurse will then place an IV in your child for the contrast injection needed for this exam. This IV tube will be placed in the child's arm, hand, or foot. Your child will only feel a little discomfort, like a mild pinch. Once the child has proper IV access the Radiology Department will be notified that you are ready. A Radiologic Technologist will come to the nursing station and bring you to the Radiology Department.

The technologist will ask why the IVP is being done, and explain the study to both you and your child. The technologist will then take a preliminary x-ray before the exam is started. The radiologist will evaluate the film and patient's history. The radiologist will then come into the exam room and speak to you and your child, to confirm all information regarding your child's symptoms and allergy history. The doctor will administer the contrast media through the IV tube already placed. Your child may feel a warm or a cool sensation during the injection. The contrast agent will highlight the kidneys and show how they drain down the ureters into the bladder.

Several x-rays will be taken at different time intervals during the exam. Your child may be asked to move in several positions for the x-rays. This test ranges from 30 minutes to more than 1 hour, depending on how your child's urinary system functions.

Child Life Specialists are available to answer questions you might have about how to prepare and support your child during the procedure. A child life specialist can also be present at the time of your child's appointment to explain the procedure in developmentally appropriate ways using well established preparation materials. The specialist can also be available to help implement distraction techniques to help your child better cope with the stress of the hospital experience. Please call 215-590-2001 or click the link above for more information. If your child's procedure is scheduled for the Pediatric Imaging Center at King of Prussia, you can call the Child Life Specialist directly at 215-590-3069.

What should you do after the exam?

There are no special instructions for your child to follow upon completion of this procedure.

Test results

The images from your child's exam are interpreted on the same day and a report sent to your physician's office.

 If your physician has any questions regarding the report, he/she may call 215-590-2584.

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