Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centre
Background: Urolithiasis during pregnancy is a complex health problem that can affect maternal and fetal health, needs adequate understanding of the management options available and their relative pros and cons. Patient management needs involvement of obstetrician, radiologist and urologist, as a mu...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2022-11-01
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| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/45167 |
| _version_ | 1811256576883818496 |
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| author | Abhishek Shukla Vishakha Dixit Divya Jain Shailendra Patel Manish Jain |
| author_facet | Abhishek Shukla Vishakha Dixit Divya Jain Shailendra Patel Manish Jain |
| author_sort | Abhishek Shukla |
| collection | DOAJ |
| description | Background: Urolithiasis during pregnancy is a complex health problem that can affect maternal and fetal health, needs adequate understanding of the management options available and their relative pros and cons. Patient management needs involvement of obstetrician, radiologist and urologist, as a multidisciplinary team, to avoid any obstetric complications, such as spontaneous abortion and preterm delivery.
Aims and Objectives: The aim of the study was to evaluate urolithiasis and its management in pregnant women at our tertiary care center.
Materials and Methods: We analyzed data of 45 patients diagnosed with urolithiasis during pregnancy between January 2017 and March 2022.We evaluated patients age, gestational age history of urolithiasis, physical examination findings, routine laboratory findings, location, and size of the stone. The effectiveness and complications of the applied treatment methods were also evaluated.
Results: The mean age of 45 patients included in our study was 25 (25.2±4.8) years with mean gestational age of 18.2 weeks. The mean stone size was 10.2 mm and the most common symptom at the time of presentation to hospital was flank pain (73%). Kidney stones were detected in 26 patients and ureteral stones in 19 patients. Although conservative treatment was sufficient in 22 (48.9%) patients, 31 (51.1%) patients required surgical intervention. Major obstetric complications, such as preterm delivery and miscarriage, did not occur in any patients.
Conclusion: Urolithiasis during pregnancy can pose a challenge to urologists, obstetricians, and radiologists, requiring a prompt diagnosis and urgent treatment. On failure of medical management, definitive endoscopic treatment of an acute stone event is a reasonable strategy. In determining the treatment options, fetal and maternal health should be of utmost importance. |
| first_indexed | 2024-04-12T17:42:24Z |
| format | Article |
| id | doaj.art-84426cd1798b4f6b8fc643b8a0a10768 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-12T17:42:24Z |
| publishDate | 2022-11-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-84426cd1798b4f6b8fc643b8a0a107682022-12-22T03:22:45ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762022-11-011311152157https://doi.org/10.3126/ajms.v13i11.45167Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centreAbhishek Shukla 0https://orcid.org/0000-0003-1090-6140Vishakha Dixit 1https://orcid.org/0000-0002-5676-2202Divya Jain 2Shailendra Patel 3Manish Jain 4https://orcid.org/0000-0002-8547-2116Senior Resident, Department of Urology and Renal Transplant, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh Assistant Professor, Department of Obstetrics and Gynaecology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh Associate Professor, Department of Obstetrics and Gynaecology, Maharani LaxmiBai Medical College, Jhansi, Uttar Pradesh, IndiaSenior Resident, Department of Urology and Renal Transplant, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya PradeshProfessor and Head, Department of Urology and Renal Transplant, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh Background: Urolithiasis during pregnancy is a complex health problem that can affect maternal and fetal health, needs adequate understanding of the management options available and their relative pros and cons. Patient management needs involvement of obstetrician, radiologist and urologist, as a multidisciplinary team, to avoid any obstetric complications, such as spontaneous abortion and preterm delivery. Aims and Objectives: The aim of the study was to evaluate urolithiasis and its management in pregnant women at our tertiary care center. Materials and Methods: We analyzed data of 45 patients diagnosed with urolithiasis during pregnancy between January 2017 and March 2022.We evaluated patients age, gestational age history of urolithiasis, physical examination findings, routine laboratory findings, location, and size of the stone. The effectiveness and complications of the applied treatment methods were also evaluated. Results: The mean age of 45 patients included in our study was 25 (25.2±4.8) years with mean gestational age of 18.2 weeks. The mean stone size was 10.2 mm and the most common symptom at the time of presentation to hospital was flank pain (73%). Kidney stones were detected in 26 patients and ureteral stones in 19 patients. Although conservative treatment was sufficient in 22 (48.9%) patients, 31 (51.1%) patients required surgical intervention. Major obstetric complications, such as preterm delivery and miscarriage, did not occur in any patients. Conclusion: Urolithiasis during pregnancy can pose a challenge to urologists, obstetricians, and radiologists, requiring a prompt diagnosis and urgent treatment. On failure of medical management, definitive endoscopic treatment of an acute stone event is a reasonable strategy. In determining the treatment options, fetal and maternal health should be of utmost importance.https://www.nepjol.info/index.php/AJMS/article/view/45167urolithiasis; pregnancy; ureterorenoscopy; dj-stenting; percutaneous nephrostomy |
| spellingShingle | Abhishek Shukla Vishakha Dixit Divya Jain Shailendra Patel Manish Jain Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centre Asian Journal of Medical Sciences urolithiasis; pregnancy; ureterorenoscopy; dj-stenting; percutaneous nephrostomy |
| title | Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centre |
| title_full | Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centre |
| title_fullStr | Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centre |
| title_full_unstemmed | Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centre |
| title_short | Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centre |
| title_sort | management of symptomatic urolithiasis during pregnancy clinical experience from a tertiary centre |
| topic | urolithiasis; pregnancy; ureterorenoscopy; dj-stenting; percutaneous nephrostomy |
| url | https://www.nepjol.info/index.php/AJMS/article/view/45167 |
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