Management of urinary calculi in pregnancy

Drago, Joseph R.; Rohner, Thomas J.; Chez, Ronald A.

doi:10.1016/0090-4295(82)90302-8

Cited by 131 publications

(53 citation statements)

References 5 publications

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“…15,16 The incidence of renal stones in pregnancy is quoted to be 1 in 1500, which is similar to non-pregnant women. 9,17,18 However there is a wide variation in reported incidence in individual case series, ranging from 1/ 188 to 1/4600. 17,19 Lower incidences are quoted more frequently in studies of un-referred populations.…”

Section: Renal Tract Changes In Pregnancymentioning

confidence: 99%

“…9,17,18 However there is a wide variation in reported incidence in individual case series, ranging from 1/ 188 to 1/4600. 17,19 Lower incidences are quoted more frequently in studies of un-referred populations. Stones appear to be more common in multiparous women, with 80-90% stones occurring in the second and third trimester.…”

Section: Renal Tract Changes In Pregnancymentioning

confidence: 99%

“…17,19,20 Renal stones may also present as preterm labour or uterine contractions. 17,19 In one series, 28% of patients were incorrectly diagnosed as appendicitis, diverticulitis, or placental abruption. 20 …”

Section: Clinical Presentationmentioning

confidence: 99%

“…31,60,61 An estimated 25-40% of pregnant women require active intervention. 17,[19][20][21]23 When active intervention is needed during pregnancy, it is imperative to use a multidisciplinary team approach, with involvement of urologists, obstetricians, anaesthetists, radiologists, and neonatologists.…”

Section: Active Interventionmentioning

confidence: 99%

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Renal stones in pregnancy

2014

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Diagnosis and treatment of renal stones during pregnancy is a complex problem. Risks to the fetus from ionising radiation and interventional procedures need to be balanced with optimising clinical care for the mother. Management of such patients requires a clear understanding of available options, with a multidisciplinary team approach. In this review, we discuss the role of different diagnostic tests including ultrasound, magnetic resonance urography, and computerized tomography. We also provide an update on recent developments in the treatment of renal stones during pregnancy. Expectant management remains first-line treatment. Where definitive treatment of the stone is required, new evidence suggests that ureteroscopic stone removal may be equally safe, and possibly better than traditional temporising procedures.

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Section: Renal Tract Changes In Pregnancymentioning

confidence: 99%

Section: Renal Tract Changes In Pregnancymentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

Section: Active Interventionmentioning

confidence: 99%

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Renal stones in pregnancy

2014

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“…8 Overall, gravid and nongravid women are known to have similar risk of UC. 9 Stone components also differ from nonpregnancy; it was found that in pregnancy 74% of stones were predominantly calcium phosphate, 10 implying a different pathophysiology in stone formation during pregnancy.…”

mentioning

confidence: 99%

Association Between Recurrence of Urinary Calculi and Childbirth: A Population-Based Case-Control Study

Shih

Chiang

Liao

et al. 2016

International Surgery

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We examined the recurrence rate of urinary calculi (UC) in women after childbirth. The recurrence of UC is common, but no previous studies mentioned the risk of recurrence after childbirth. We performed a nationwide population-based cohort study to investigate whether childbirth could correlate with the recurrence of UC by using data from the National Health Insurance Research Database in Taiwan. Nulliparous women (age !20 years) receiving a diagnosis of first episode of UC between 2000 and 2002 were enrolled. We recorded the events of recurrence between parous patients (n ¼ 737) and matched-control nulliparous patients (n ¼ 737). The average ages for parous patients and controls were 27.41 and 27.54, respectively. The recurrence rate was 11.67% (86 of 737) in the childbirth cohort group and 21.57% (159 of 737) in the nonchildbirth cohort group. The childbirth cohort group was associated with a significantly decreased risk of secondary UC (adjusted hazard ratio, 0.45; 95% confidence interval, 0.35-0.59) compared with those who did not deliver a child. This relationship should be studied further.

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Ureteral jets in normal second- and third-trimester pregnancy

Burke

Washowich

1998

J. Clin. Ultrasound

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Management of urinary calculi in pregnancy

Cited by 131 publications

References 5 publications

Renal stones in pregnancy

Renal stones in pregnancy

Association Between Recurrence of Urinary Calculi and Childbirth: A Population-Based Case-Control Study

Ureteral jets in normal second- and third-trimester pregnancy

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