| Management of stone disease in pregnancy. | |
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MedLine Citation:
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PMID: 19996751 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: Nephrolithiasis is a not infrequent complication of pregnancy. The occurrence of a stone event in a pregnant woman is a complex situation. Therefore, a clear understanding of the management options available and their relative advantages and disadvantages for this unique population is important. RECENT FINDINGS: When initial, conservative measures have failed in the treatment of a pregnant woman suffering from an acute stone event, management options have historically been of a temporizing nature: generally, either ureteral stent placement or nephrostomy drainage. However, with recent advances in surgical technology and surgeon technique, a more definitive approach to these patients has become more widely adopted. Indeed, several recent case series have reported the complication rate for ureteroscopy during pregnancy to be low. Furthermore, a meta-analysis of case series of ureteroscopy during pregnancy suggests definitive endoscopic treatment is well tolerated in this patient population. SUMMARY: In a pregnant patient without contraindications to ureteroscopy, the definitive endoscopic treatment of an acute stone event is a reasonable management strategy, should conservative measures fail. Although further investigation with randomized control trials is ideally needed to confirm these results, at present, the published case series and meta-analysis confirm the safety of ureteroscopy in pregnant patients in the appropriate setting. A multidisciplinary approach is key to the successful management of this complex patient population. |
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Authors:
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Michelle J Semins; Brian R Matlaga |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in urology Volume: 20 ISSN: 1473-6586 ISO Abbreviation: Curr Opin Urol Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-03 Completed Date: 2010-03-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9200621 Medline TA: Curr Opin Urol Country: United States |
Other Details:
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Languages: eng Pagination: 174-7 Citation Subset: IM |
Affiliation:
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James Buchanan Brady Urological Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Female Humans Kidney Calculi / therapy* Pregnancy Pregnancy Complications / therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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