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A Novel Use of Three-dimensional High-frequency Ultrasonography for Early Pregnancy Characterization in the Mouse
Published on: October 24, 2017
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Contemporary best practice urolithiasis in pregnancy
Marie-Therese I Valovska1, Vernon M Pais2
1Dartmouth College Geisel School of Medicine, Hanover, New Hampshire, USA.
Therapeutic Advances in Urology
|March 22, 2018
Summary
Urolithiasis, or kidney stones, is a common pregnancy complication. Ultrasound is the first-line imaging, with ureteroscopic stone removal being a safe, effective treatment when conservative measures fail.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Diagnostic Imaging
Background:
- Urolithiasis is the most frequent nonobstetric complication during pregnancy.
- Pregnancy-associated physiological changes can reduce the reliability of physical exams and imaging.
- Managing kidney stones in pregnant patients requires careful consideration of diagnostic utility and fetal/maternal risks.
Purpose of the Study:
- To review the diagnostic and management strategies for urolithiasis in pregnant patients.
- To highlight the challenges in diagnosing and treating kidney stones during pregnancy.
- To emphasize the importance of a multidisciplinary approach.
Main Methods:
- Literature review focusing on diagnostic imaging modalities and treatment options for urolithiasis in pregnancy.
- Analysis of the safety and efficacy of various interventions, considering maternal and fetal outcomes.
- Discussion of conservative versus definitive treatment strategies.
Main Results:
- Ultrasound is the primary diagnostic imaging modality, with other options available for inconclusive results.
- Conservative management is recommended initially; ureteroscopic stone removal is a safe and effective definitive treatment.
- A multidisciplinary team approach is crucial for optimal patient management.
Conclusions:
- Effective management of urolithiasis in pregnancy necessitates careful diagnostic imaging selection and tailored treatment plans.
- Minimizing radiation exposure to the fetus while ensuring accurate diagnosis is paramount.
- Team-based care involving obstetricians, urologists, radiologists, and anesthesiologists ensures the best outcomes.
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