The Usefulness of Ureteral Stenting for Acute Ureteral Obstruction in Pregnancy / 대한비뇨기과학회지
Korean Journal of Urology
;
: 1220-1224, 2006.
Artículo
en Coreano
| WPRIM
| ID: wpr-79257
ABSTRACT
Purpose:
An acute ureteral obstruction during pregnancy presents both diagnostic and therapeutic challenges. When conservative therapy fails, temporary measures, such as ureteral stenting, are often chosen as a first- line intervention, which postpones definitive management until delivery. The usefulness of ureteral stenting was evaluated as an emerging strategy for the symptoms of an acute ureteral obstruction during pregnancy. Materials andMethods:
Between 1996 and 2005, a retrospective analysis was performed on 53 pregnant patients with an acute ureteral obstruction. Eighteen of the patients were treated by ureteral stenting, as they failed to improve with conservative management. They were followed up until the removal of the ureteral stent.Results:
Seventeen patients (95%) experienced significant pain relief within at least 2 days, but one patient (5%) did not. On ultrasound, 16 patients (88%) had resolution of hydronephrosis. Twelve patients (66%) continued to have problems with post-therapeutically irritative voiding symptoms, but 11 (61%) experienced relief of symptoms within 10 days. One patient (5%) had the ureteral stent removed due to the continuous complaint of irritative voiding symptoms. After delivery, all patients were taken intravenous pyelography (IVP). Fourteen patients showed normal findings, but 4 were diagnosed with a ureteral stone. Three patients were treated by extracorporeal shock wave lithotripsy (ESWL) for a stone in the upper and lower urinary tract. One patient, with a mid ureteral stone, was treated by ureteroscopic lithotripsy.Conclusions:
Ureteral stents were usually placed without any major problems, and well tolerated, with only minor and short post-therapeutic discomfort. We concluded that ureteral stenting is a simple, safe and effective first-line therapeutic option in case of symptomatic and acute ureteral obstruction during pregnancy.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Choque
/
Uréter
/
Obstrucción Ureteral
/
Sistema Urinario
/
Litotricia
/
Urografía
/
Stents
/
Estudios Retrospectivos
/
Ultrasonografía
/
Hidronefrosis
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
Límite:
Humanos
/
Embarazo
Idioma:
Coreano
Revista:
Korean Journal of Urology
Año:
2006
Tipo del documento:
Artículo
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