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[Vesico-renal reflux and pregnancy].
Annales D'Urologie
|January 1, 1985
Summary
Pregnancy can worsen or reveal vesico-ureteral reflux, a condition where urine flows backward. This study highlights six cases in pregnant women, emphasizing the need for surgical correction in specific instances.
Area of Science:
- Urology
- Nephrology
- Obstetrics and Gynecology
Context:
- Pregnancy alters urinary tract anatomy, potentially causing urinary stasis and pyuria.
- Existing vesico-ureteral reflux (VUR) may be exacerbated or become apparent during pregnancy.
Purpose:
- To report cases of VUR in pregnant women.
- To discuss pregnancy-related factors contributing to VUR.
- To evaluate the indication for surgical correction of VUR during pregnancy.
Summary:
- Six cases of VUR in pregnant women are presented, initially manifesting as feverish lumbar pain or mictional disorders with pyuria.
- Postpartum investigations including intravenous urography, retrograde cystography, and cystoscopy confirmed the reflux.
- Pregnancy-associated mechanical, hormonal, and metabolic factors contribute to the development or worsening of VUR.
Impact:
- Highlights the importance of recognizing VUR in pregnant patients presenting with urinary symptoms.
- Suggests surgical intervention for VUR accompanied by pyuria and detected during pregnancy.
- Informs clinical management strategies for urinary tract infections and reflux in pregnant individuals.