Management of symptomatic ureteral calculi during pregnancy: experience of 23 cases
Urology Annals. 2013; 5 (4): 241-244
em Inglês
| IMEMR
| ID: emr-148400
ABSTRACT
To present our experience in the management of symptomatic ureteral calculi during pregnancy. Twenty-three pregnant women, aged between 19 and 28 years presented to the obstetric and urology departments with renal colic [17 cases, 73.9%] and fever and renal pain [6 cases, 26.1%]; suggesting ureteric stones. The diagnosis was established by ultrasonography [abdominal and transvaginal]. Outpatient follow-up consisted of clinical assessment and abdominal ultrasonography. Follow-up by X-ray of the kidneys, ureter, and bladder [KUB], or intravenous urography [IVU] was done in the postpartum period. Double J [DJ] stent was inserted in six women [26%] with persistent fever followed by extracorporeal shock wave lithotripsy [ESWL] one month post-partum. Ureteroscopic procedure and pneumatic lithotripsy were performed for 17 women [distal ureteric stone in 10, middle ureter in 5, and upper ureteric stone in 2]. Stone-free rate was 100%. No urologic, anesthetic, or obstetric complications were encountered. Ureteroscopy, pneumatic lithotripsy, and DJ insertion could be a definitive and safe option for the treatment of obstructive ureteric stones during pregnancy
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Complicações na Gravidez
/
Cálculos Ureterais
/
Ureteroscopia
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Urol. Ann.
Ano de publicação:
2013
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