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Related Experiment Videos

Urolithiasis in pregnancy.

Ching-Hwa Yang1, Pei-Hui Chan, Siu-Kei La

  • 1Divison of Urology, Department of Surgery, Far Eastern Memorial Hospital, Taipei, Taiwan, ROC.

Journal of the Chinese Medical Association : JCMA
|March 23, 2005
PubMed
Summary

Urolithiasis in pregnant women presents diagnostic and treatment challenges. Minimally invasive procedures like percutaneous nephrostomy (PCN), double J (DBJ) stenting, and ureterorenoscopy (URS) are effective when conservative management fails.

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Area of Science:

  • Urology
  • Obstetrics
  • Nephrology

Background:

  • Urolithiasis during pregnancy poses significant diagnostic and management challenges.
  • Review of clinical experience and literature on managing kidney stones in pregnant patients.

Purpose of the Study:

  • To review diagnostic and management experiences of urolithiasis in pregnant women.
  • To discuss safety, diagnostic tools, and treatment options for pregnancy-related urolithiasis.

Main Methods:

  • Retrospective review of nine pregnant women with urolithiasis.
  • Diagnosis based on symptoms, clinical signs, and ultrasonography.
  • Initial conservative treatment followed by minimally invasive procedures if necessary.

Main Results:

Related Experiment Videos

  • Four patients resolved with conservative treatment; five required interventions.
  • Minimally invasive procedures included double J (DBJ) stenting, percutaneous nephrostomy (PCN), and ureterorenoscopy (URS).
  • Successful full-term deliveries were achieved in patients undergoing interventions, with one case of ovarian abscess.

Conclusions:

  • Clinical presentation and ultrasound are key for diagnosing urolithiasis in pregnancy.
  • Minimally invasive procedures are safe and effective for refractory cases.
  • Successful management of pregnancy urolithiasis balances maternal and fetal outcomes.