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Stone Disease in Pregnancy.
Jennifer R Mihalo1, Michelle Jo Semins2
1Department of Urology, West Virginia University School of Medicine, 1 Medical Center Drive, Morgantown, WV 26505, USA.
The Urologic Clinics of North America
|July 3, 2025
Summary
Kidney stones during pregnancy are increasingly common and complex to manage due to unique physiological changes and risks. Treatment prioritizes conservative approaches but interventions like ureteroscopy are safe when needed.
Area of Science:
- Nephrology
- Obstetrics
- Urology
Background:
- Kidney stone prevalence is rising, with increasing occurrences during pregnancy.
- Pregnancy presents unique physiological changes impacting stone formation and management.
- Symptomatic kidney stones in pregnancy pose diagnostic challenges and risks to mother and fetus.
Purpose of the Study:
- To review the complexities of diagnosing and managing kidney stones in pregnant patients.
- To highlight the unique maternal and fetal risks associated with kidney stones during pregnancy.
- To discuss the safety and necessity of various management strategies, including conservative and interventional approaches.
Main Methods:
- Literature review focusing on kidney stone management in pregnancy.
- Analysis of diagnostic challenges, including radiation exposure concerns.
- Evaluation of treatment options: conservative management, temporary drainage, and ureteroscopy.
Main Results:
- Conservative management is preferred when feasible.
- Interventional procedures such as temporary drainage and ureteroscopy are safe when necessary.
- Careful patient selection and a multidisciplinary approach are crucial.
Conclusions:
- Managing kidney stones in pregnancy requires a delicate balance between maternal and fetal well-being.
- Interdisciplinary collaboration is key to optimizing outcomes and safety.
- While conservative measures are favored, timely intervention ensures effective treatment when required.
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