What is the role of retrograde pyelography in the preoperative workup of partial cystectomy?

Updated: Apr 03, 2019
  • Author: E Jason Abel, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Retrograde pyelography can be performed at the same time if findings from an IVP or CT urography are inconclusive to adequately evaluate the upper urinary tracts. With the advances in endoscopic equipment and fiberoptics, ureteroscopy has enabled direct visual inspection of any suspicious upper tract lesions, with the ability to obtain a biopsy specimen and even treat superficial lesions.

Selective saline wash cytologies or brush biopsies may be performed for further evaluation of the upper tract.


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