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Management and complications of urolithiasis during pregnancy
H Haller1, V Mozetić, D Topljak-Polić
1Department of Obstetrics and Gynecology, Clinical Medical Centre, Medical Faculty of Rijeka, Croatia.
Objective:
To identify all pregnant women with urolithiasis, and to determine the mode of diagnosis and treatment with reference to obstetric outcome.
Method:
From January 1, 1986 to December 31, 1991, relevant medical records were retrospectively analyzed.
Results:
Among 21,597 deliveries 10 pregnant women were diagnosed as having urolithiasis. They constituted 0.04% of all women who delivered at the Department of Obstetrics and Gynecology in Rijeka during this period. Conservative treatment was successful in 5 patients. Ureteral stents were inserted in 3 patients, nephrostomy was performed in 1 patient and a nephrectomy was necessary in 1 patient because of a nonfunctional kidney and chronic pyelonephritis.
Conclusion:
In our series all applied procedures in diagnosis and treatment of urolithiasis resulted in favorable maternal and perinatal outcome.