Retrograde Pyelography Periprocedural Care

Updated: May 21, 2013
  • Author: Lanna Cheuck, DO; Chief Editor: Edward David Kim, MD, FACS  more...
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Periprocedural Care

Patient Preparation

As per American Urological Association (AUA) guidelines, [5] any patient undergoing a procedure that involves manipulation of the ureter must receive prophylactic antibiotics. Fluoroquinolones and TMP-SMX are the drugs of choice. If these drugs are unavailable or cannot be used because of adverse reactions, aminoglycosides plus ampicillin, first-/second-generation cephalosporins may be used.

Anesthesia

Depending on the reason for performing retrograde pyelography, the patient is typically given general anesthesia.

Positioning

The dorsal lithotomy position is used.

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Monitoring & Follow-up

Cystoscopy and retrograde pyelography are typically performed as outpatient procedures. Once the procedure is complete, the patient typically stays in the hospital for a few hours to ensure stability and to ensure that no complications have occurred.

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