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Ureteroscopy in pregnancy

N M Ulvik¹, A Bakke, P A Høisaeter

¹Department of Surgery, Haukeland Hospital, Bergen, Norway.

The Journal of Urology

|November 1, 1995

Summary

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Ureteroscopy is a safe and effective procedure for pregnant women experiencing ureteral obstruction. This technique successfully diagnosed and treated ureteral calculi in expectant mothers when other methods failed.

Area of Science:

Urology
Obstetrics
Endourology

Background:

Ureteral obstruction during pregnancy can cause significant discomfort and complications.
Conservative management is often the first line of treatment for pregnant patients.

Purpose of the Study:

To evaluate the safety and efficacy of ureteroscopy in pregnant women with ureteral obstruction.
To assess the diagnostic and therapeutic utility of ureteroscopy in this specific patient population.

Main Methods:

A retrospective review of 24 pregnant women undergoing ureteroscopy between 1984 and 1994.
Ureteroscopy was performed for persistent symptoms of ureteral obstruction, primarily in the second and third trimesters.

Main Results:

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Rigid ureteroscopy allowed easy access to the upper ureter and renal pelvis in all cases.

Ureteral calculi were successfully extracted in 13 patients.

No serious maternal or fetal complications were reported.

Conclusions:

Ureteroscopy is a safe and effective intervention for diagnosing and treating ureteral calculi in pregnant women.
This endoscopic procedure should be considered when conservative measures for ureteral obstruction in pregnancy are unsuccessful.