Related Experiment Videos
[Symptomatic hydronephrosis during pregnancy].
Pedro Navalón Verdejo1, Francisco Sánchez Ballester, Yoni Pallas Costa
1Servicio de Urología, Consorcio Hospital General Universitario, Valencia, España. pedronavalon@yahoo.com
Archivos Espanoles De Urologia
|February 18, 2006
Summary
Symptomatic hydronephrosis in pregnancy often resolves with conservative management. For refractory cases, interventions like double J catheter insertion or ureteroscopy are effective treatments for obstructive uropathy during pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Medical Imaging
Context:
- Hydronephrosis affects up to 90% of pregnancies, often asymptomatic.
- Symptomatic obstructive uropathy in pregnancy requires timely diagnosis and management.
- External compression by the gravid uterus is a common cause, alongside ureteral lithiasis.
Purpose:
- To report the experience in diagnosing and treating symptomatic obstructive uropathy in pregnant women.
- To evaluate the efficacy of conservative and interventional treatments.
- To identify the primary etiologies of symptomatic hydronephrosis in pregnancy.
Summary:
- A retrospective review of 162 pregnant women with symptomatic hydronephrosis over 12 years.
- Conservative treatment was successful for most patients.
- Interventional options included double J catheter insertion (35 patients), percutaneous nephrostomy (2 patients), and ureteroscopy (2 patients).
Impact:
- Conservative management is the preferred initial approach for symptomatic hydronephrosis in pregnancy.
- Ureteral double J catheterization or percutaneous nephrostomy are options for refractory cases.
- Ureteroscopy presents a viable diagnostic and therapeutic alternative when less invasive methods fail.