Comparison of percutaneous nephrostomy and double J stent in symptomatic pregnancy hydronephrosis treatment

doi:10.3906/sag-1711-5

Cited by 14 publications

(4 citation statements)

References 27 publications

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“…PCN placement and ureteral stent placement are the commonly used methods for treating symptomatic hydronephrosis. While both methods have high success rates, the advantage of PCN placement lies in its ability to be performed under local anesthesia, which is important during pregnancy 9 . All PCN placement procedures in the current study were conducted using only local anesthesia, similar to the protocol described by Kavoussi et al and Khoo et al 3,10 .…”

Section: Discussionmentioning

confidence: 99%

Is Ultrasound-Guided Percutaneous Nephrostomy Efficacious and Safe in Pregnant Patients?: A Single Center Experience

Mutlu,

Dablan,

Cingöz

et al. 2024

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi

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Aim: To evaluate the safety and efficacy of ultrasound-guided percutaneous nephrostomy (PCN) placement in pregnancy. Method: Medical records of 26 pregnant patients who were inserted with a total of 27 PCN catheters between June 2020 to June 2023 were retrospectively analyzed to assess imaging findings, procedural parameters, technical success, delivery outcomes, and procedural complications. Results: At the time of placement of the PCN, the mean gestational age was 29.04±7.01 weeks (range 7 - 36 weeks). The indications for insertion of the PCN catheter included: 1) obstructing calculi (46.2%), 2) pyelonephritis (34.6%), and 3) symptomatic hydronephrosis without calculi (19.2%). Successful catheter placement was achieved in 25/27 procedures, yielding a success rate of 92.59%, and no major complications. Minor instances of transient hematuria were encountered in three cases. The mean duration of catheter retention was 72.58 days. All patients exhibited significant clinical and symptomatic improvement. Among these patients, 22 patients (84.6%) delivered their babies at full-term, 3 patients (11.5%) delivered prematurely, and 1 patient (3.8%) experienced a miscarriage. Conclusion: Ultrasound-guided PCN placement is a reliable method with high success and efficacy that can be applied during pregnancy. This procedure avoids the use of ionizing radiation, ensuring safety for both the fetus and the mother.

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Section: Discussionmentioning

confidence: 99%

Is Ultrasound-Guided Percutaneous Nephrostomy Efficacious and Safe in Pregnant Patients?: A Single Center Experience

Mutlu,

Dablan,

Cingöz

et al. 2024

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi

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“…Moreover, the operation is complicated, and the exposed catheter falls off easily, disturbing the child (13). Furthermore, indwelling JJS is not easy to misdischarge, which is more suitable for pediatric population (14). Currently, the main disadvantage of an indwelling inner JJS is the difficulty of extra hospitalization that is needed for JJS removal under general anesthesia (4).…”

Section: Discussionmentioning

confidence: 99%

Transurethral Retrograde Fishing the Double J Urethral Stent: A Tertiary Children Hospital's Experience With a New Technical Strategy

Yu¹,

Wei²,

Dong³

et al. 2022

Front. Pediatr.

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PurposeThe purpose of this study is to provide a new strategy for non-cystoscopic double J urethral stent (JJS) removal, the transurethral retrograde fishing the double J urethral stent (TURFJJS), that avoids general anesthesia in pediatric populations.MethodsWe retrospectively reviewed the JJS removal records of patients having ureteropelvic junction obstruction (UPJO). We analyzed differences in the removal success rates, operation-related severe complications, total cost, duration, and parental satisfaction between TURFJJS and traditional cystoscopic double J urethral stent removal (CJJSR) procedures.ResultsA total of 324 patients with UPJO were included in this study. CJJSR yielded a success rate of 100%. TURFJJS achieved a success rate of 94.3%. The TURFJJS was just an outpatient procedure, and its total cost was about 800 Chinese yuan (US$ 124). There were no severe JJS removal-related complications using TURFJJS. Parental satisfaction was 98.2 and 92.5% for the CJJSR and TURFJJS protocols, respectively.ConclusionTURFJJS is safe, effective, cost-effective, and well-tolerated in pediatric patients, minimizing or eliminating the need for general anesthesia, additional hospitalization, and waste of time. TURFJJS should be widely used in pediatric urology.

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“…The study also compared and analysed the time of re-interventions between PCN versus double-J insertion. It concluded that PCN was more effective and feasible than Double-J insertion as a treatment for symptomatic hydronephrosis in pregnancy, especially since PCN needs less reintervention with a longer time between reintervention, compared to double-J stent insertion [36].…”

Section: Percutaneous Nephrostomy (Pcn) Versus Double-j Stent Insertionmentioning

confidence: 99%

The Management of Symptomatic Hydronephrosis in Pregnancy

Hosny,

Chan,

Ibrahim

et al. 2024

Cureus

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The aim of this article is to provide a literature review on the management of symptomatic physiological hydronephrosis in pregnancy and compare different modalities of intervention when needed. In this review, we conducted an electronic literature search of peer-reviewed journal articles. The PubMed, Research Gate, and Google Scholar databases were queried with the following search terms: "pregnancy", "obstruction," and "hydronephrosis"; the terms "urolithiasis" and "kidney stone" were excluded. As a result, conservative treatment was successful and more favored for most of the patients and the clinicians in the different studies we found. Conservative management will usually include regular analgesia, positioning, and antibiotics. Close follow-up with ultrasound is always recommended. Intervention with ureteric stent insertion or nephrostomy tube insertion was less favored and only triggered by certain clinical criteria. In conclusion, symptomatic hydronephrosis in pregnancy can be safely treated conservatively. However, ureteral double-J stenting or percutaneous nephrostomy are effective and safe treatment methods in the minority of patients with persistent symptoms not responding to conservative management.

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Comparison of percutaneous nephrostomy and double J stent in symptomatic pregnancy hydronephrosis treatment

Cited by 14 publications

References 27 publications

Is Ultrasound-Guided Percutaneous Nephrostomy Efficacious and Safe in Pregnant Patients?: A Single Center Experience

Is Ultrasound-Guided Percutaneous Nephrostomy Efficacious and Safe in Pregnant Patients?: A Single Center Experience

Transurethral Retrograde Fishing the Double J Urethral Stent: A Tertiary Children Hospital's Experience With a New Technical Strategy

The Management of Symptomatic Hydronephrosis in Pregnancy

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