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Percutaneous nephrolithotomy in early pregnancy.
Csaba Tóth1, György Tóth, Attila Varga
1Department of Urology, Medical and Health Science Center, University of Debrecen, Nagyerdei krt. 98., 4032 Debrecen, Hungary.
International Urology and Nephrology
|September 1, 2005
Summary
This study details a rare percutaneous nephrolithotomy performed without X-rays on an 11-week pregnant patient with a ureteric stone. No prior literature documented similar radiation-free percutaneous kidney stone removal procedures.
Area of Science:
- Urology
- Medical Imaging
- Obstetrics
Background:
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
- Minimizing radiation exposure is crucial, especially in pregnant patients.
- X-ray fluoroscopy is typically used to guide PCNL.
Observation:
- An 11-week pregnant woman presented with an 8-mm left upper ureteric stone.
- A percutaneous nephrolithotomy was performed to remove the stone.
- The procedure was conducted entirely without the use of X-rays.
Findings:
- Successful percutaneous removal of an 8-mm left upper ureteric stone was achieved.
- The procedure was performed without any intraoperative X-ray imaging.
- This represents the first reported case of radiation-free PCNL in the available literature.
Implications:
- This case demonstrates the feasibility of radiation-free PCNL in specific clinical scenarios.
- It offers a potential alternative for pregnant patients requiring kidney stone intervention.
- Further research is warranted to evaluate the safety and efficacy of this technique.