Management of ureteric stone in pregnancy: a review
| Autor: | Prashant Patel, Surya Prakash Singh, Avinash P. S. Thakur, Arpan Choudhary, Vivek Sharma, Vasantharaja Ramasamy, Subeesh Parol |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Urology medicine.medical_treatment Population 030232 urology & nephrology URS urologic and male genital diseases lcsh:RC870-923 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Ureteroscopy education Obstructive uropathy Ureteric Stone education.field_of_study 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry General surgery medicine.disease lcsh:Diseases of the genitourinary system. Urology female genital diseases and pregnancy complications Management Percutaneous nephrostomy medicine.symptom business Premature rupture of membranes Ureteric stones |
| Zdroj: | African Journal of Urology, Vol 26, Iss 1, Pp 1-18 (2020) |
| ISSN: | 1961-9987 1110-5704 |
| DOI: | 10.1186/s12301-020-00070-5 |
| Popis: | Background Urolithiasis in pregnancy is a major health concern and is one of the most common causes for non-obstetrical abdominal pain and subsequent hospital admission during pregnancy. The incidence of urinary calculi during pregnancy varies in the range of 1/200 to 1/2000. Acute ureteric colic in pregnancy is associated with significant potential risks to both mother and fetus. Significant anatomic and functional changes occur in pregnancy which not only lead to stone formation but also create diagnostic dilemma. The diagnosis of ureteric calculi can be incorrect in about 28% of pregnant patients. Main body Management of ureteric stone during pregnancy is remaining to be a challenge for the treating urologist. Because of the inability to use good imaging options for the diagnosis confirmation and more invasive approach for the treatment, management continues to be difficult. The main threats are preterm labor with delivery and premature rupture of membranes. Other pregnancy complications are obstructive uropathy, gestational diabetes mellitus, recurrent abortions and pre-eclampsia. Management of diagnosed ureteric stone is unique in the pregnant population and requires multi-disciplinary care. It should be individualized for each patient and moves preferably from conservative to invasive approaches sequentially. With continued advancements in endourological techniques, few definitive treatment options are also available for such patients. Conclusion There are several lacunae related with the diagnostic imaging, medical expulsive therapy, reliability of ureteral stent/percutaneous nephrostomy insertions and safety of ureteroscopy during pregnancy. Herein, we review the management of ureteric stone during pregnancy, the various diagnostic modalities and treatment options with their advantages and disadvantages. We also proposed our management algorithm to deal with such clinical scenario in this particular population. |
| Databáze: | OpenAIRE |
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