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ORIGINAL ARTICLE
Year : 2013  |  Volume : 5  |  Issue : 4  |  Page : 241-244

Management of symptomatic ureteral calculi during pregnancy: Experience of 23 cases


1 Department of Urology, Faculty of Medicine, South Valley University, Egypt
2 Department of Obstetric and Gynaecology, Faculty of Medicine, South Valley University, Egypt
3 Department of Urology, Faculty of Medicine, Assiut University, Egypt

Correspondence Address:
Mohammad S Abdel-Kader
Asst. Professor of Urology, Urology Department, Faculty of Medicine, Qena, South Valley University
Egypt
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DOI: 10.4103/0974-7796.120294

PMID: 24311902

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Purpose: To present our experience in the management of symptomatic ureteral calculi during pregnancy. Materials and Methods: Twenty-three pregnant women, aged between 19 and 28 years presented to the obstetric and urology departments with renal colic (17 cases, 73.9%) and fever and renal pain (6 cases, 26.1%); suggesting ureteric stones. The diagnosis was established by ultrasonography (abdominal and transvaginal). Outpatient follow-up consisted of clinical assessment and abdominal ultrasonography. Follow-up by X-ray of the kidneys, ureter, and bladder (KUB), or intravenous urography (IVU) was done in the postpartum period. Results: Double J (DJ) stent was inserted in six women (26%) with persistent fever followed by extracorporeal shock wave lithotripsy (ESWL) one month post-partum. Ureteroscopic procedure and pneumatic lithotripsy were performed for 17 women (distal ureteric stone in 10, middle ureter in 5, and upper ureteric stone in 2). Stone-free rate was 100%. No urologic, anesthetic, or obstetric complications were encountered. Conclusions: Ureteroscopy, pneumatic lithotripsy, and DJ insertion could be a definitive and safe option for the treatment of obstructive ureteric stones during pregnancy.


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