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Urinary calculi in pregnancy

J P Perreault, J M Paquin, R Faucher

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |July 1, 1982
    PubMed
    Summary
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    Urinary calculi in pregnancy can be managed non-interventionally in most cases. Surgical intervention for kidney stones during pregnancy is possible but often best delayed until after delivery.

    Area of Science:

    • Obstetrics and Gynecology
    • Urology

    Background:

    • Urinary calculi (kidney stones) can complicate pregnancy.
    • Early diagnosis and appropriate management are crucial for maternal and fetal well-being.

    Purpose of the Study:

    • To review the management of pregnant patients with urinary calculi.
    • To evaluate the safety and efficacy of different treatment modalities during pregnancy.

    Main Methods:

    • Retrospective analysis of 19 pregnant patients with urinary calculi admitted between January 1975 and March 1980.
    • Review of clinical presentation, diagnostic procedures, and treatment outcomes.

    Main Results:

    • Non-interventional therapy was successful in 14 out of 19 patients.
    • Two patients underwent surgical intervention during pregnancy without complications.

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  • Ultrasonography proved useful for diagnosis in the first trimester.
  • Pyelography required careful consideration of radiation exposure to the fetus.
  • Conclusions:

    • Treatment for urinary calculi in pregnancy should be individualized based on calculus characteristics, obstruction, infection, and gestational age.
    • Conservative management with hydration and analgesia is the preferred initial approach.
    • Surgical interventions, if necessary, are best postponed until the postpartum period whenever feasible.