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Related Experiment Videos

Renal colic in pregnancy.

L Stothers1, L M Lee

  • 1Department of Surgery, University of British Columbia, Vancouver, Canada.

The Journal of Urology
|November 1, 1992
PubMed
Summary
This summary is machine-generated.

Renal colic during pregnancy is manageable, with most kidney stones passing spontaneously. Intervention is reserved for severe cases, showing a low complication rate with procedures like ureteral stent placement.

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Area of Science:

  • Obstetrics and Gynecology
  • Nephrology
  • Urology

Background:

  • Renal calculi (kidney stones) present a significant, though infrequent, challenge in pregnancy management.
  • Pregnancy alters urinary tract physiology, potentially increasing stone formation and complicating diagnosis and treatment.

Purpose of the Study:

  • To review the incidence, diagnosis, and management of renal colic in pregnant patients.
  • To evaluate treatment outcomes and complications associated with renal calculi during pregnancy.

Main Methods:

  • Retrospective review of renal colic cases in pregnant patients from 1979-1990.
  • Analysis of diagnostic methods (ultrasonography, excretory urography) and interventions (ureteral stent placement).

Main Results:

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  • 57 confirmed cases of renal calculi in pregnant patients over 11 years.
  • Most stones occurred in the second/third trimester, presenting with flank pain (89%) and hematuria (>95%).
  • 84% of patients experienced spontaneous stone passage; interventions were required in 23 patients with a 16% complication rate.

Conclusions:

  • Renal calculi in pregnancy can be managed effectively with a high rate of spontaneous passage.
  • Urological intervention, such as ureteral stenting, is safe and effective for indicated cases, with successful outcomes including spontaneous vaginal delivery.