Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service
CPT4 code
Name of the Procedure:
Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service
Summary
This procedure involves injecting a contrast dye into an ileal conduit or the ureters to visualize the urinary tract system, helping doctors inspect for blockages or abnormalities. It is an important diagnostic tool for individuals with reconstructed urinary diversions or abnormalities in the ureters.
Purpose
The procedure addresses urinary tract issues such as blockages, leaks, or abnormal growths within the system formed by the ileal conduit or the ureters.
- Goals: To clearly visualize the urinary tract structures for accurate diagnosis.
- Expected Outcomes: Identification of abnormalities, guiding further treatment or surgical planning.
Indications
- Symptoms like recurring urinary tract infections, hematuria (blood in urine), or flank pain.
- Difficulties with urinary drainage or unexplained changes in urine output.
- Follow-up for patients with known urologic conditions or postoperative evaluations.
Preparation
- Patients may be instructed to fast for a few hours before the procedure.
- Adjustment or temporary discontinuation of certain medications may be required.
- A pre-procedure assessment of kidney function and a review of allergies to contrast dyes.
Procedure Description
- Preparation: The patient is positioned comfortably, typically lying flat.
- Sterilization: The site of injection is sterilized to prevent infection.
- Insertion: A catheter is inserted into the ileal conduit or ureters.
- Injection: A contrast dye is injected through the catheter.
- Imaging: Despite being exclusive of radiologic service, concurrent radiographic imaging may be employed.
- Tools/Equipment: Catheters, contrast dye, syringes.
- Anesthesia/Sedation: Local anesthesia may be applied to minimize discomfort.
Duration
The procedure typically takes about 30 minutes to 1 hour.
Setting
Performed in a hospital radiology department, outpatient clinic, or specialized urology center.
Personnel
- Urologists or radiologists.
- Nurses or medical assistants.
- Technicians operating imaging equipment (if used).
Risks and Complications
- Common: Minor discomfort or pain at the injection site, allergic reaction to contrast dye.
- Rare: Infection, bleeding, dye-induced nephropathy, or damage to the urinary tract.
Benefits
- Expected Benefits: Accurate diagnosis of urinary tract issues.
- Benefits Realization: Immediate visualization, aiding prompt clinical decision-making.
Recovery
- Post-Procedure Care: Monitoring for adverse reactions, hydration to help flush out contrast dye.
- Recovery Time: Most patients can resume normal activities the same day.
- Restrictions: Following any specific instructions provided by the doctor.
- Follow-Up: Regular follow-up appointments to discuss results and next steps.
Alternatives
- Other Treatments: Non-contrast imaging like ultrasound, MRI.
- Pros/Cons: Alternatives may be less invasive but might not provide as detailed visualization.
Patient Experience
- During Procedure: Mild discomfort during catheter insertion; minimal pain due to local anesthesia.
- After Procedure: Potential temporary soreness at the injection site. Pain management through over-the-counter pain relievers if necessary.
- Comfort Measures: Explanation of each step and reassurance to alleviate anxiety.