Excretory Urogram
Explanation | Before | During | After
What is an excretory urogram?
An excretory urogram (EU) is a test which uses X-rays and special X-ray contrast dye to take pictures of the kidneys, ureters (tubes connecting the kidneys to the bladder), and the bladder. This test helps the doctor see how well these organs are working. In the past, this test was called an intravenous pyelogram (IVP).
Before the test
Before you come to the hospital, explain to your child what will happen. Tell your child that there will be a needle stick, and it will hurt for only a second. It is important to be honest with children. When explaining the test to young children, use simple words and explain only right before the test.
Before the test, your child will need to drink an over-the-counter laxative such as magnesium citrate, which can be purchased at a pharmacy or drug store. If your child will be coming to Cincinnati Children's Hospital Medical Center as an outpatient for this test, give the magnesium citrate at bedtime the night before the test. Follow the directions below for the amount to give.
| Child's Age | Dose |
| Under 1 year | No laxative |
| 1 - 3 years | 1-1/2 ounces |
| 3 - 5 years | 2-1/2 ounces |
| 6 - 8 years | 3 ounces |
| 9 - 12 years | 4 ounces |
| 13 - 18 years | 5 ounces |
Your child should not eat or drink anything for 4 hours before the test. If your child is taking medicines ordered by a doctor, give them at the scheduled times with just a sip of water.
During the test
Your child will lie on the X-ray table and be given special X-ray contrast dye through the veins for the test. This is a needle stick much like an IV, which hurts for only a second. When the contrast dye is injected, it may make your child feel flushed or warm all over and he / she may feel nauseated for a few moments. After the dye is injected, the X-ray technologist will take several X-ray pictures of his / her lower abdomen. The kidneys, ureters and bladder will show up brightly on the pictures.
If your child is unable to lie still for the test, staff will assist your child in holding still. Children are often less apprehensive and more cooperative when a loved one is with them. If you are pregnant, you will have to leave the room. The test usually lasts about one hour.
It is possible that during the procedure your child may experience some discomfort. Please tell the doctor, nurse or technologist so it can be evaluated.
After the test
The technologist will tell you that you may leave when all the X-ray pictures are taken. Your child may return to normal daily activities. Results of the test will be sent to your child's doctor, who will contact you about the results.
Contact Us
For additional information on this or any Health Topic, please call the Family Resource Center, 513-636-7606, or your pediatrician.
Patient Education Program III 3017 4/92
Rev. 1/06
