Document Detail


The efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patients.
MedLine Citation:
PMID:  22215294     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The aim of this study was to investigate the efficacy and safety of ureteroscopy (URS) in pregnant women. A retrospective analysis was performed on 32 pregnant patients referred to our center between April 2005 and November 2010 with hydronephrosis requiring surgical intervention. A semirigid URS of 9.5 F was used in all patients. The mean age of patients was 27.8 years (range 20-39), and the mean gestation duration was 24 weeks (15-34). The ultrasound findings were diagnostic of obstructive ureteral calculi in 16 (50%) patients and the mean stone diameter was 8 mm. Spinal anaesthesia was performed in 22 (68.8%) patients, while general anaesthesia was performed in 7 (21.8%) patients. Ureteric stones were found in 27 (84.3%) patients during endoscopy, 10 being distal, 9 middle and 8 proximal. There were no stones in five patients. The stones were fragmented with pneumatic lithotripsy in 8 patients and with holmium laser in 17 patients and the fragments were retracted with forceps. Of the 32 patients, 19 (59.4%) required JJ stent insertion peroperatively. There was no serious complication intraoperatively, while urinary tract infection developed in four and renal colic in two patients postoperatively. In one patient, sepsis developed postoperatively, and improved with appropriate treatment. All babies were born normally. Semirigid ureteroscopy for diagnosing and treating ureteral calculi by intracorporeal pneumatic or holmium laser lithotripsy is a safe and reasonable treatment option for pregnant patients.
Authors:
Yasar Bozkurt; Necmettin Penbegul; Haluk Soylemez; Murat Atar; Ahmet Ali Sancaktutar; Kadir Yıldırım; Muhammet Erdal Sak
Related Documents :
16527694 - Human leukocyte antigen-dq2 homozygosity and the development of refractory celiac disea...
22451584 - Pulmonary arterial hypertension in patients treated by dasatinib.
20872964 - Surveillance for colitis-associated colon neoplasia.
9113884 - Failure of added dietary gluten to induce small intestinal histopathological changes in...
7781454 - How well can quantitative 24-hour intraesophageal ph monitoring distinguish various deg...
1597974 - Atheroembolism from the ascending aorta. an emerging problem in cardiac surgery.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-4
Journal Detail:
Title:  Urological research     Volume:  -     ISSN:  1434-0879     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0364311     Medline TA:  Urol Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Urology, University of Dicle, Diyarbakir, Turkey, dryasarbozkurt@hotmail.com.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Quantitative analysis of colonization with real-time PCR to identify the role of Oxalobacter formige...
Next Document:  [Anatomical and pathophysiological features and treatment of elbow luxation in rabbits].