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Is compression allowed for microscopic hematuria during an IVP?

  1. No, it increases risk

  2. Yes, it is indicated

  3. Yes, but only if symptoms are mild

  4. No, only during other procedures

The correct answer is: Yes, it is indicated

In the context of an Intravenous Pyelogram (IVP) procedure, compression is considered acceptable for microscopic hematuria because it can enhance visualization of the renal collecting system. When using compression in radiological procedures, the goal is to temporarily displace structures or fluids to optimize image quality. In cases where microscopic hematuria is present, if the bleeding is not profuse, applying mild compression can aid in delineating the anatomy and identifying any potential urinary tract obstruction or other pathologies. This technique is often employed carefully, keeping the patient's safety in mind. It allows for increased visualization and can lead to better diagnostic outcomes. However, attention must be paid to the patient's overall condition and symptomatology during the procedure, but in general practice, compression in this circumstance is indicated when appropriately applied.