2-12. RETROGRADE PYELOGRAPHY
a. Patient Preparation and Scheduling. Patient preparation and scheduling
for pyelography is similar to that for intravenous pyelography, except for the following.
(1) Fluid intake (water) is not restricted; instead, unless otherwise ordered,
fluid intake is as much as the patient will tolerate.
Sedation is administered as ordered.
The radiograph-urological table unit (see figure 2-25).
Cystoscope of the type especially suited for this examination.
(3) A special layout consisting of sterile and nonsterile accessory supplies,
drugs, and apparatus. The content and arrangement of this layout will vary with the
case and the preferences of the urologist. A representative layout may include such
items as the following:
Catheters: ureteral, x-ray, 4 to 14 Fr. (French); urethral, 14 to 24 Fr.
Syringes: bulb type, with assorted nozzles. Luer 2, 5, and 10 cc.
Specimen bottles, culture tubes, and medicine glasses.
Towels, drapes, sheets, leggings, gauze, cotton, and gloves.
Tourniquet, large and small water basins, and small trays.
Drugs, antiseptic solutions, and contrast solutions.
The patient is placed on the radiographic-urological table.
(2) The patient's lower extremities are sheathed in leggings especially
designed for this purpose.
(3) The urologist introduces the cystoscope via the urethra and makes a
preliminary examination of the urinary bladder. He then passes the urethral catheters
through the cystoscope into the ureters as far as the renal pelves.