Preference for diagnosing and treating renal colic during pregnancy: a survey among Chinese urologists
Abstract To explore the preference for diagnosing and treating renal colic during pregnancy among Chinese urologists. A questionnaire was designed using the Sojump® platform. WeChat, the largest social networking platform in China, was used to distribute the questionnaire to urologists at hospitals...
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| Format: | Article |
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Nature Portfolio
2024-02-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-53608-w |
| _version_ | 1797275071717310464 |
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| author | Shidong Deng Dayong Guo Lingzhi Liu Yurou Wang Kuilin Fei Huihui Zhang |
| author_facet | Shidong Deng Dayong Guo Lingzhi Liu Yurou Wang Kuilin Fei Huihui Zhang |
| author_sort | Shidong Deng |
| collection | DOAJ |
| description | Abstract To explore the preference for diagnosing and treating renal colic during pregnancy among Chinese urologists. A questionnaire was designed using the Sojump® platform. WeChat, the largest social networking platform in China, was used to distribute the questionnaire to urologists at hospitals of all levels in China. In total, 110 responses were included. Of the respondents, 100.0% used ultrasound to diagnose renal colic during pregnancy, followed by magnetic resonance imaging (17.3%) and low-dose CT (3.6%). Phloroglucinol (80.9%) and progesterone (72.7%) were the most commonly used antispasmodics and analgesics. Opioid analgesics were not commonly used (12.7%). Most of the respondents (63.6%) indicated that no more than 20% of the patients needed surgical intervention. If surgery was unavoidable, 95.5% preferred temporary renal drainage, including ureteral stenting (92.7%) and percutaneous nephrostomy (2.7%). However, some respondents still preferred definitive stone treatment, such as ureteroscopy lithotripsy (3.6%) and percutaneous nephrolithotomy (0.9%). Moreover, there were no differences in the choices of urologists with different professional titles regarding diagnostic tools, most therapeutic medications, or surgical methods (p > 0.05). Ultrasound is the preferred tool for diagnosing renal colic during pregnancy. Low-dose CT is still not widely accepted. Pregnant patients with renal colic are initially treated conservatively. Urologists prefer ureteral stenting when there are clinical indications for intervention. |
| first_indexed | 2024-03-07T15:09:05Z |
| format | Article |
| id | doaj.art-63d70bff4dc54ff2a8bcf6285c418a12 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-07T15:09:05Z |
| publishDate | 2024-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-63d70bff4dc54ff2a8bcf6285c418a122024-03-05T18:45:38ZengNature PortfolioScientific Reports2045-23222024-02-011411810.1038/s41598-024-53608-wPreference for diagnosing and treating renal colic during pregnancy: a survey among Chinese urologistsShidong Deng0Dayong Guo1Lingzhi Liu2Yurou Wang3Kuilin Fei4Huihui Zhang5Department of Urology, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaDepartment of Urology, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaDepartment of Urology, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaDepartment of Urology, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaDepartment of Obstetrics, Xiangya Hospital, Central South UniversityDepartment of Urology, The First Affiliated Hospital, Hengyang Medical School, University of South ChinaAbstract To explore the preference for diagnosing and treating renal colic during pregnancy among Chinese urologists. A questionnaire was designed using the Sojump® platform. WeChat, the largest social networking platform in China, was used to distribute the questionnaire to urologists at hospitals of all levels in China. In total, 110 responses were included. Of the respondents, 100.0% used ultrasound to diagnose renal colic during pregnancy, followed by magnetic resonance imaging (17.3%) and low-dose CT (3.6%). Phloroglucinol (80.9%) and progesterone (72.7%) were the most commonly used antispasmodics and analgesics. Opioid analgesics were not commonly used (12.7%). Most of the respondents (63.6%) indicated that no more than 20% of the patients needed surgical intervention. If surgery was unavoidable, 95.5% preferred temporary renal drainage, including ureteral stenting (92.7%) and percutaneous nephrostomy (2.7%). However, some respondents still preferred definitive stone treatment, such as ureteroscopy lithotripsy (3.6%) and percutaneous nephrolithotomy (0.9%). Moreover, there were no differences in the choices of urologists with different professional titles regarding diagnostic tools, most therapeutic medications, or surgical methods (p > 0.05). Ultrasound is the preferred tool for diagnosing renal colic during pregnancy. Low-dose CT is still not widely accepted. Pregnant patients with renal colic are initially treated conservatively. Urologists prefer ureteral stenting when there are clinical indications for intervention.https://doi.org/10.1038/s41598-024-53608-wRenal colicPregnancyDiagnosisTreatmentSurvey |
| spellingShingle | Shidong Deng Dayong Guo Lingzhi Liu Yurou Wang Kuilin Fei Huihui Zhang Preference for diagnosing and treating renal colic during pregnancy: a survey among Chinese urologists Scientific Reports Renal colic Pregnancy Diagnosis Treatment Survey |
| title | Preference for diagnosing and treating renal colic during pregnancy: a survey among Chinese urologists |
| title_full | Preference for diagnosing and treating renal colic during pregnancy: a survey among Chinese urologists |
| title_fullStr | Preference for diagnosing and treating renal colic during pregnancy: a survey among Chinese urologists |
| title_full_unstemmed | Preference for diagnosing and treating renal colic during pregnancy: a survey among Chinese urologists |
| title_short | Preference for diagnosing and treating renal colic during pregnancy: a survey among Chinese urologists |
| title_sort | preference for diagnosing and treating renal colic during pregnancy a survey among chinese urologists |
| topic | Renal colic Pregnancy Diagnosis Treatment Survey |
| url | https://doi.org/10.1038/s41598-024-53608-w |
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