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[Temporary percutaneous nephrostomy in pregnancy].

A Schwenke1, W Fischer, W D Schöpke

  • 1Klinik für Gynäkologie und Geburtshilfe, Medizinischen Fakultät (Charité), Humboldt-Universität zu Berlin.

Zentralblatt Fur Gynakologie
|January 1, 1991
PubMed
Summary

Relieving nephrostomy is recommended for pregnant women with kidney engorgement posing risks. This procedure offers clinical improvement, especially for those with solitary kidneys, but should be used judiciously.

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Area of Science:

  • Obstetrics and Gynecology
  • Nephrology
  • Interventional Radiology

Background:

  • Kidney engorgement during pregnancy can pose risks to both mother and child.
  • Indications for intervention include localized issues or systemic effects threatening pregnancy viability.

Observation:

  • Percutaneous nephrostomy was performed on five pregnant women over five years.
  • Indications included acute pyelonephritis gravidarum and asymptomatic pyelo-calyceal ectasia.
  • Two patients received antegrade splinting post-procedure.

Findings:

  • Four out of five patients showed clinical improvement following renal relief.
  • Sonographic improvement was less pronounced than clinical recovery.
  • One patient required delivery six days after nephrostomy.

Implications:

  • Percutaneous nephrostomy can provide clinical relief in select pregnancy-related kidney engorgement cases.
  • Judicious use is advised, particularly avoiding interventions for asymptomatic urinary stasis.
  • A more liberal approach is warranted for patients with solitary kidneys.

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