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Double-J ureteric stenting in pregnancy: A single-centre experience from Iraq
Ho-Yin Ngai1, Hawre Qadir Salih2, Ayad Albeer3
1Department of Urology, Queen Elizabeth Hospital, Hong Kong, China.
Arab Journal of Urology
|November 12, 2015
Summary
Ureteric stenting using JJ stents is a safe and effective treatment for pregnant women experiencing severe flank pain and kidney obstruction. This procedure offers significant symptom relief with a low complication rate, making it a recommended first-line therapy.
Area of Science:
- Urology
- Nephrology
- Obstetrics
Background:
- Renal obstruction and intractable flank pain are significant concerns during pregnancy.
- Ureteric stenting is a potential intervention for managing these conditions.
Purpose of the Study:
- To evaluate the safety and effectiveness of ureteric stenting with a JJ stent in pregnant women.
- To assess its role in relieving renal obstruction and intractable flank pain.
Main Methods:
- Prospective assessment of pregnant patients requiring ureteric stenting with a JJ stent.
- Study conducted at a tertiary national teaching hospital between March 2008 and March 2010.
Main Results:
- 30 pregnant patients underwent JJ ureteric stenting for intractable flank pain (77%) or flank pain with sepsis (20%).
- Successful stent insertion was achieved in all cases, with a mean indwelling time of 47.4 days.
- Significant hydronephrosis resolution (47-50%) and clinical improvement (67%) were observed; complications included encrustation, migration, and irritation (10-17%).
Conclusions:
- Ureteric stenting during pregnancy is safe, even with local anesthesia and no intraoperative imaging.
- The procedure provides effective symptom relief and has a low complication rate.
- It is advocated as a first-line treatment for therapy-resistant flank pain in pregnant women.