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Ureteroscopic stone manipulation during pregnancy.

J M Vest1, S S Warden

  • 1Virginia Beach General Hospital.

Urology
|March 1, 1990
PubMed
Summary
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Rigid ureteroscopy successfully treated low ureteral stones in two pregnant patients during their third trimester. This minimally invasive approach is safe for both mother and fetus when carefully selected.

Area of Science:

  • Urology
  • Obstetrics & Gynecology

Background:

  • Ureteral stones during pregnancy pose risks to both mother and fetus.
  • Management of ureteral stones in pregnant patients requires careful consideration of safety and efficacy.
  • Minimally invasive techniques are preferred to reduce maternal and fetal risks.

Observation:

  • Two cases of pregnant patients in their third trimester presented with symptomatic low ureteral stones.
  • Rigid ureteroscopy was employed for stone manipulation in both cases.
  • Successful stone removal was achieved in both patients.

Findings:

  • Rigid ureteroscopy is a viable and effective treatment option for low ureteral stones in pregnant patients.
  • The procedure demonstrated successful stone management without apparent adverse effects on the mother or fetus.

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  • Careful patient selection is crucial for optimizing outcomes.

    • Implications:

    • This technique offers a safe and effective solution for ureteral stones in late pregnancy.
    • Ureteroscopic stone manipulation can be considered a valuable tool in obstetric urology.
    • Further studies may explore the broader application of this technique in pregnant populations.