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[The urinary tract in pregnancy]

C Roy1, C Saussine, M Campos

  • 1Service de Radiologie A, Hôpital Civil, Hôpitaux Universitaires de Strasbourg.

Annales D'Urologie
|January 1, 1993
PubMed
Summary

Pregnancy commonly causes urinary tract changes like ureterohydronephrosis. Medical imaging, primarily ultrasound, helps distinguish normal changes from infections or obstructions during pregnancy.

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Area of Science:

  • Urology
  • Radiology
  • Obstetrics

Background:

  • Pregnancy induces significant morphologic changes in the urinary tract.
  • Physiological ureterohydronephrosis is a common finding during pregnancy.
  • Urinary tract diseases, including pyelonephritis and stone obstruction, are frequent in pregnant individuals.

Purpose of the Study:

  • To outline the role of medical imaging in diagnosing urinary tract conditions during pregnancy.
  • To differentiate physiological ureterohydronephrosis from pathological obstruction.
  • To identify imaging modalities suitable for pregnant patients.

Main Methods:

  • Ultrasonography is the primary imaging technique.
  • Limited roentgenographic investigations are permissible in the second and third trimesters.
  • Magnetic resonance imaging (MRI) is emerging as a valuable tool.

Main Results:

  • Ultrasonography effectively visualizes urinary tract alterations.
  • Imaging differentiates normal physiological changes from acute conditions.
  • Specific imaging protocols are adapted for pregnancy.

Conclusions:

  • Medical imaging is crucial for managing urinary tract diseases in pregnancy.
  • Ultrasonography is the cornerstone of diagnosis.
  • Advanced imaging like MRI offers future potential for improved patient care.

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