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Retroperitoneoscopic nephrectomy for giant hydronephrosis in pregnancy
Heleni Mastoroudes1, Jonathon Olsburgh, Kate Harding
1Worthing and Southlands NHS Trust, UK.
Nature Clinical Practice. Urology
|September 8, 2007
Summary
A pregnant woman with a non-functioning kidney due to pelvi-ureteric junction obstruction (PUJO) underwent successful nephrectomy in the first trimester. This management ensured symptom relief and a healthy pregnancy outcome.
Area of Science:
- Nephrology
- Urology
- Obstetrics
Background:
- A 32-year-old primiparous woman presented with a painful, giant hydronephrotic kidney.
- The condition was secondary to symptomatic, non-functioning left pelvi-ureteric junction obstruction (PUJO) during her first trimester.
Observation:
- Diagnostic investigations included renal ultrasonography, intravenous urography, and MAG-3 renography.
- The patient was counseled regarding treatment options.
Findings:
- An uncomplicated retroperitoneoscopic nephrectomy was performed at 9 weeks' gestation.
- The surgery provided symptom relief and mitigated risks to mother and fetus.
Implications:
- Successful surgical management of PUJO in early pregnancy is feasible.
- This approach can lead to an uneventful recovery and healthy term delivery.
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