CT Urography in Delhi: Purpose, Procedure & Cost Details

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06 Jul, 2025

Dr. Nikunj Jain

Dr. Nikunj Jain

Co-Founder and HOD - Nuclear Medicine ,

MBBS, DRM, DNB, FEBNM, FANMB, Dip. CBNC

CT Urography is an advanced, non-invasive diagnostic imaging test used to evaluate the urinary tract, including the kidneys, ureters, and bladder. It combines CT scanning with intravenous contrast material to produce high-resolution images that reveal structural abnormalities, stones, tumors, infections, and causes of hematuria (blood in urine). This comprehensive test provides both anatomical and functional assessment in a single session and has become a valuable tool in modern medical practice, especially in cities like Delhi with widespread access to cutting-edge imaging technology.

Purpose of CT Urography

CT urography is commonly performed when abnormalities in the urinary tract are suspected or when prior imaging is inconclusive. Key clinical indications include:

  • Detection of Kidney Stones: Identifies small stones missed by ultrasound or X-ray.

  • Evaluation of Hematuria: Investigates unexplained blood in urine caused by stones, tumors, or infections.

  • Identification of Urinary Tract Tumors: Detects tumors in kidneys, ureters, or bladder and assesses their extent.

  • Diagnosis of Structural Abnormalities: Reveals congenital or acquired deformities in urinary organs.

  • Assessment of Urinary Tract Infections: Helps identify causes of recurrent or complicated infections.

  • Detection of Obstruction or Hydronephrosis: Locates blockages causing kidney swelling.

  • Evaluation of Post-Surgical Complications: Monitors leaks, strictures, or anatomical changes after surgery.

  • Monitoring Known Conditions: Regular follow-up of renal cysts, tumors, or other diagnosed issues.

Procedure: What to Expect During CT Urography

CT urography typically takes 60–90 minutes and includes multiple imaging phases.

  1. Before the Scan

    • Fasting for 4–6 hours may be required.

    • Inform your doctor about allergies, kidney issues, or pregnancy.

    • Kidney function tests may be performed beforehand.

  2. Contrast Injection

    • Iodine-based contrast dye is injected into a vein.

    • A warm sensation or metallic taste may be felt briefly.

  3. Scanning Process

    • You lie on the CT table, which moves through the scanner.

    • Scanning occurs in three phases:

      • Non-contrast phase: Detects stones or calcifications.

      • Nephrographic phase: Images kidney tissue (minutes after contrast).

      • Excretory phase: Tracks urine flow through ureters to bladder (10–15 minutes later).

    • Breath-holding for short intervals may be requested.

  4. After the Scan

    • Resume normal activities immediately.

    • Drink plenty of fluids to flush contrast from your system.

    • Results are typically available within 24–48 hours.

Most patients tolerate the test well; mild side effects like nausea or itching are rare, and serious reactions are very uncommon.

Cost of CT Urography in Delhi

  • Typical price range: ₹7,000 to ₹14,000

  • Factors influencing cost:

    • Scanner type and technology (e.g., multi-slice, dual-energy)

    • Inclusion of all three imaging phases

    • Contrast material and lab tests

    • Facility pricing policies

Costs usually cover contrast injection, scanning, and radiologist interpretation. Confirm any additional charges for pre-procedure tests or post-procedure care.

Conclusion

CT urography is a powerful diagnostic tool providing detailed, comprehensive evaluation of the urinary tract in a single, non-invasive session. It surpasses conventional imaging in detecting stones, tumors, infections, and anatomical abnormalities, enabling timely diagnosis and treatment planning. In Delhi, access to modern imaging centers ensures patients receive accurate and prompt assessment of urinary tract conditions.

Consult your doctor or urologist to determine if CT urography is appropriate for your symptoms and to receive proper preparation instructions.

 

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