| Rigid ureteroscopy for diagnosis and treatment of ureteral calculi during pregnancy. | |
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MedLine Citation:
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PMID: 15748336 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate ureteroscopy as a treatment option for women presenting ureteral calculi during pregnancy. MATERIALS AND METHODS: Eighteen pregnant patients presenting renal colic and indication of surgical treatment for ureteral calculi were analyzed. Patients were 20 to 34 years old (medium = 28), and the gestation period ranged from 12 to 34 weeks (medium = 18). Lumbar pain was present in 14 patients, and 4 had diffuse abdominal pain. Four patients were febrile in the occasion of the examination. Thirteen patients presented microscopic hematuria, 8 leucocituria, and 4 positive urine culture. The stone was detected by ultrasonography (US) in 12 patients. Magnetic resonance imaging (MRI) was performed in 2 cases, and did not demonstrate calculi. The stone location was: 1 in the superior ureter (pregnancy of 15 weeks), 4 in the medium ureter (pregnancy of 12, 15, 18 and 20 weeks), 12 in the inferior ureter, and 1 was not determined. The surgical indication was difficult pain control, fever, and presence of uterine contractions. RESULTS: Double-J insertion, as single treatment, was possible in 4 patients and it was kept in place for up to 2 weeks after delivery. Among the patients submitted to ureteroscopy, the calculi retrieval was always possible, except in 1 case where the calculus was not located by US, MRI or ureteroscopy. In 2 patients, the ultrasonic lithotriptor was used and in 11 the stone was removed intact with a basket. There were no complications due to the procedure and all pregnancies were carried to full term. CONCLUSION: Rigid ureteroscopy for extraction of ureteral calculi during pregnancy is efficient and safe. |
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Authors:
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Gustavo C Lemos; Omar R El Hayek; Marcelo Apezzato |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International braz j urol : official journal of the Brazilian Society of Urology Volume: 28 ISSN: 1677-5538 ISO Abbreviation: Int Braz J Urol Publication Date: 2002 Jul-Aug |
Date Detail:
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Created Date: 2005-03-07 Completed Date: 2005-04-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158091 Medline TA: Int Braz J Urol Country: Brazil |
Other Details:
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Languages: eng Pagination: 311-5; discussion 316 Citation Subset: - |
Affiliation:
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Albert Einstein Jewish Hospital, São Paulo, SP, Brazil. gclemos@ajato.com.br |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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