the evaluation of ureteroscopy and pneumatic lithotripsy results in pregnant women with urethral calculi
نویسندگان
چکیده
background urinary stone incidence in pregnancy has been reported in a wide range, from 1 in 200 to 1 in 2000 cases. objectives the aim of this study was to investigate the efficacy and safety of ureteroscopic treatment and its results and complications for pregnant women with urinary stones. patients and methods from 2003 till 2011, 113 pregnant patients with symptomatic urolithiasis were admitted to the urology emergency clinic at imam reza hospital. all patients were initially treated conservatively, resulting in spontaneous passage of the calculi in 69 patients. forty-four patients with symptomatic urolithiasis were included in the study. post-operative follow ups, including maternal and fetal health was performed by a gynecologist consult fetal heart rate assessment and urine analysis and culture and renal and urethral ultrasonography. results the mean age of the patients was 23 years ± 2 (19-34) and the mean gestational age was 24 ± 3 weeks. the overall and pneumatic lithotripsy success rate was 100%. all patients from the interventional group delivered at term with no fetal or maternal complications. there was no morbidity during and after the operation. conclusions in conditions, medical management of urinary stones and consequent renal colic in pregnant women cannot improve patients’ symptoms, choosing of a surgical method like setting of a dj catheter or urs and pneumatic lithotripsy can be a safe and effective way for the health of both the mother and fetus. of course, more research is needed to establish this approach as the standard method in pregnancy urinary stones.
منابع مشابه
The Evaluation of Ureteroscopy and Pneumatic Lithotripsy Results in Pregnant Women With Urethral Calculi
BACKGROUND Urinary stone incidence in pregnancy has been reported in a wide range, from 1 in 200 to 1 in 2000 cases. OBJECTIVES The aim of this study was to investigate the efficacy and safety of ureteroscopic treatment and its results and complications for pregnant women with urinary stones. PATIENTS AND METHODS From 2003 till 2011, 113 pregnant patients with symptomatic urolithiasis were ...
متن کاملUreteroscopic pneumatic lithotripsy of impacted ureteral calculi.
INTRODUCTION This work evaluates the results of ureteroscopic treatment of impacted ureteral stones with a pneumatic lithotripter. MATERIALS AND METHODS From March 1997 to May 2002, 42 patients with impacted ureteral stones were treated by retrograde ureteroscopic pneumatic lithotripsy. Twenty-eight patients were female and 14 were male. The stone size ranged from 5 to 20 mm. The ureteral sit...
متن کاملPneumatic lithotripsy for the management of ureteric calculi.
OBJECTIVE To determine the efficacy of Swiss lithoclast in the management of ureteric calculi and complications encountered in lithoclasty. DESIGN A prospective observational study. PLACE AND DURATION OF STUDY Department of Urology, Lahore General Hospital, Lahore (October 1999 - September 2001). SUBJECTS AND METHODS Thirty ureteric stones (in 20 subjects) were treated over a 2-year perio...
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15 صفحه اولMassive Pulmonary Calculi Embolism: A Novel Complication of Pneumatic Lithotripsy
Pneumatic lithotripsy is a minimally invasive technique mainly for the treatment of urinary staghorn stones. Previous literatures have reported some therapeutic complications during or after this procedure, but calculi embolism has not been mentioned before.We report here a fatal case of calculi-induced pulmonary embolism in an adult woman who underwent pneumatic lithotripsy. An autopsy did not...
متن کاملUreteroscopy in pregnant women for ureteral stone.
INTRODUCTION The occurrence of urolithiasis in pregnancy represents a challenge in both diagnosis and treatment of this condition, because it presents risks not only to the mother but also to the fetus. Surgical treatment may be indicated for patients with infection, persistent pain, and obstruction of a solitary kidney. We present our experience on the management of pregnant patients with uret...
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عنوان ژورنال:
nephro-urology monthlyجلد ۵، شماره ۴، صفحات ۸۷۴-۸۷۸
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