Urology Annals
About UA | Search | Ahead of print | Current Issue | Archives | Instructions | Online submissionLogin 
Urology Annals
  Editorial Board | Subscribe | Advertise | Contact
Users Online: 865   Home Print this page  Email this page Small font size Default font size Increase font size
Year : 2013  |  Volume : 5  |  Issue : 3  |  Page : 197-199

Challenges on percutaneous nephrolithotomy in pregnancy: Supine position approach through ultrasound guidance

Division of Urology, University of Campinas, Unicamp, Campinas, São Paulo, Brazil

Correspondence Address:
Leonardo Oliveira Reis
R. Votorantim, 51, ap. 43 Campinas-SP, Brazil, 13073-090
Login to access the Email id

DOI: 10.4103/0974-7796.115750

PMID: 24049385

Rights and Permissions

Urolithiasis in pregnancy represents a major diagnostic and therapeutic challenge to the obstetrician, urologist, radiologist and anesthetist. It is a cause of major concern, considering the potential adverse effects of radiation exposure and of any invasive surgical procedure and anesthesia on the mother and fetus. Fortunately, with conservative management, 70-80% of symptomatic calculi pass spontaneously with no sequel. However, fever, infection, uncontrolled pain and progressive hydronephrosis are indications for surgical intervention when retrograde placements of a ureteral stent or a percutaneous nephrostomy tube are the most traditional options. The recent technological advances in stone fragmentation devices and the administration of safe anesthesia have forced clinicians to embark on more definitive stone management techniques in pregnancy. Ureteroscopy is considered the first definitive treatment of obstructive ureteral calculi during all trimesters of pregnancy, but also has limitations. Although generally avoided during pregnancy, percutaneous nephrolithotomy can be a good treatment choice in selected patients.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded374    
    Comments [Add]    

Recommend this journal