Urolithiasis in pregnancy

Das, Krishanu; Buchholz, Noor

doi:10.1016/j.ijsu.2016.10.046

Cited by 25 publications

(64 citation statements)

References 32 publications

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“…Urolithiasis during pregnancy is an important health problem that can affect the maternal and foetal health [1]. In previous studies, the incidence of urolithiasis during pregnancy has been reported to be between 1:188 and 1:4600.…”

Section: Introductionmentioning

confidence: 99%

“…Studies evaluating the effect of geographical location show that the incidence of urolithiasis is increasing in industrialised societies. However, there is minimal data about the role of geographical location in the incidence and prevalence of urolithiasis in pregnant women [1,2]. Urolithiasis may lead to urinary stasis, causing obstetric complications, such as preterm delivery and spontaneous abortion associated with urinary tract infection and pyelonephritis in pregnant women [3].…”

Section: Introductionmentioning

confidence: 99%

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Urolithiasis and Its Treatment in Pregnant Women: 10-Year Clinical Experience From a Single Centre

Demir¹,

Yağmur²,

Pelit³

et al. 2021

Cureus

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Introduction: Urolithiasis during pregnancy is an important health concern that can affect maternal and foetal health. If left untreated, it can cause obstetric complications, such as spontaneous abortion and preterm delivery. In this study, we aimed to evaluate urolithiasis and its treatment in pregnant women. Methods: We analysed data of 57 patients diagnosed with urolithiasis during pregnancy between January 2010 and December 2020. Patients' age, gestational age, urolithiasis history, physical examination findings, laboratory findings, location and size of the stone and applied treatment methods were examined. The effectiveness and complications of the applied treatment methods were evaluated. Results: The mean age of 57 patients included in our study was 27 (27.8 ± 5.6) years and their mean gestational age was 20 (20.3 ± 9.2) weeks. The mean stone size was 9 mm (9.09 ± 4.37). The most common symptom at the time of presentation to the hospital was flank pain (93%). Kidney stones were detected in 34 patients and ureteral stones in 23 patients. Although conservative treatment was sufficient in 26 (45.6%) patients, 31 (54.4%) patients required surgical intervention. Major obstetric complications, such as preterm delivery and abortion, did not occur in any of the patients. Conclusion: The diagnosis and treatment of pregnant women with urolithiasis should be managed in a multidisciplinary manner. While determining the treatment options, foetal and maternal health should be considered.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Urolithiasis and Its Treatment in Pregnant Women: 10-Year Clinical Experience From a Single Centre

Demir¹,

Yağmur²,

Pelit³

et al. 2021

Cureus

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“…12 Abdominal and pelvic ultrasonography (US) are often used in young or pregnant ladies where exposure to radiation is dangerous. 13 Nowadays, computed tomography is the gold standard for diagnosis and monitoring of patients with urinary tract calculi.…”

Section: Diagnosis Of Urinary Tract Calculimentioning

confidence: 99%

Contrast versus non-contrast CT in urinary tract calculi

Faidah

Banjar

Zarbah

et al. 2018

Int J Community Med Public Health

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The incidence and prevalence of urinary tract calculi has increased significantly during the past decade. Accurate fast diagnostic modalities were developed to cope with such an increased trend. To date, non-contrast CT scan remains the diagnostic modality of choice for evaluation of patients with urinary tract calculi. However, contrast CT scans are gaining more interest. In this review, both diagnostic modalities were reviewed with the advantages and disadvantages of each. Non-contrast CT scan is a rapid, accurate, less hazardous, less expensive imaging modality that has a high sensitivity in detection of urinary calculi as small as 3 mm. However, it cannot evaluate other probable causes of flank pain. Thus, contrast CT scans can be used in situations where clinical presentation is suspicious and the possibility of other differential diagnoses is considered. Contrast CT scans do not decrease the sensitivity of detecting urinary calculi, and they do have a higher sensitivity in detecting small grades of obstruction as well as evaluating other possible causes of flank pain such as neoplasms, infectious, or inflammatory aetiologies.

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“…Renal colic is one of the most common non obstetric pain and pregnancy emergencies in pregnant women [1] , and its incidence is between 1:200 and 1:2000, which could lead to severe pregnancy complications, such as abortion or premature delivery [2] . The main cause of renal colic in pregnant women contains urinary calculi, in addition to ureteral stricture, fetal ureteral obstruction and so on.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors of Uterine Contraction After Ureteroscopy in Pregnant Women With Renal Colic

Zhou

et al. 2021

Preprint

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Background: Ureteroscopy is widely applied in pregnant women with renal colic, but such patients are easy to experience uterine contraction after ureteroscopy, There are many factors which may result to uterine contraction, this study aims to explore the risk factors of uterine contraction triggered by ureteroscopy in pregnant women with renal colic. Methods: 101 pregnant women were retrospectively analyzed, all patients were hospitalized because of severe renal colic. All patients received ureteroscopy during which double J catheters were inserted into ureters for drainage. Patients received medical treatment individually according to their condition and the uterine contractions were detected by EHG within 12 hours after operation. Patients were classified as group A (uterine contraction, n=46) and group B (no uterine contraction, n=55) according to the presence or absence of continuously regular uterine contraction. Clinical characteristics were collected for further analysis, including history of deliveries, anesthesia methods, application of phloroglucinol or not, surgical time, Oxygen inhalation or not, pain relief or not after surgery, systemic inflammatory response syndrome(SIRS) occurred or not. A binary logistic regression analysis model was established to explore whether such clinical characteristics were relevant to uterine contraction after ureteroscopy. Results: The incidence of continuously regular uterine contraction occurred within 12 hours after ureteroscopy in pregnant women was 45.54%, and the presence of uterine contraction was related to the following factors(P<0.05): history of deliveries(primipara versus multipara)(OR=6.593, 95%CI 2.231-19.490), surgical time(each quarter additional)(OR=2.385, 95%CI 1.342-4.238), application of phloroglucinol(yes versus not)(OR=6.959, 95%CI 1.416-34.194), pain relief after surgery(yes versus not)(OR=6.707, 95%CI 1.978-22.738), SIRS occurred after surgery(yes versus not)(OR=0.099, 95%CI 0.014-0.713). Conclusion: Continuously regular uterine contraction is easy to occur within 12 hours after ureteroscopy in pregnant women. SIRS occurred after surgery is a risk factor for uterine contraction; on the contrary, no history of childbirth, shorter surgical time, application of phloroglucinol, pain relief after surgery are protective factors.

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Urolithiasis in pregnancy

Cited by 25 publications

References 32 publications

Urolithiasis and Its Treatment in Pregnant Women: 10-Year Clinical Experience From a Single Centre

Urolithiasis and Its Treatment in Pregnant Women: 10-Year Clinical Experience From a Single Centre

Contrast versus non-contrast CT in urinary tract calculi

Risk Factors of Uterine Contraction After Ureteroscopy in Pregnant Women With Renal Colic

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