Management of Acute Symptomatic Hydronephrosis of Pregnancy by Postural Drainage

Chitale, Sudhanshu; Chitale, Vinayak

doi:10.2174/1874303x01003010004

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…They followed them up with an ultrasound scan three months after delivery, and this showed a resolution of the hydronephrosis. Therefore, this manoeuvre can be particularly useful for patients who remain symptomatic despite regular analgesia and can help prevent the need for invasive uro-radiological intervention [35].…”

Section: Conservative Management Versus Interventionmentioning

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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Section: Conservative Management Versus Interventionmentioning

confidence: 99%

The Management of Symptomatic Hydronephrosis in Pregnancy

Hosny,

Chan,

Ibrahim

et al. 2024

Cureus

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“…Hydroureteronephrosis develops as early as 6-10 weeks of gestation [5,6]. It disappears a few weeks after birth.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Incidence of Hydroureteronephrosis among Pregnant Women of a Tertiary Care Hospital

Rithanya

Sivasankar

Griffin

et al. 2021

JPRI

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Background: Some degree of dilatation of the upper two-thirds of the ureter and the pelvicalyceal system is observed in physiological hydroureteronephrosis. It may be present in 90% of pregnancies and is more pronounced on the right side. It develops as early as 6-10 weeks of gestation and disappears a few weeks after birth. Smooth muscle-relaxant effects of progesterone and mechanical compression have been postulated as contributing factors. Ultrasound is the imaging modality of choice. Most of the cases resolve with conservative measures. Objectives: The study aimed to assess the incidence of hydroureteronephrosis in pregnancy using ultrasound, to assess the laterality of hydroureteronephrosis in pregnancy and to assess the proportion of subjects with hydroureteronephrosis in pregnancy requiring intervention. Materials and Methodology: A prospective study was conducted among the pregnant women presenting to the department of obstetrics and gynecology in a tertiary health care hospital from January 2021 to April 2021. A simple random sampling technique was employed, 40 subjects were identified for the study. The relationship between hydroureteronephrosis and gestational age, urinary tract problems and parity were compared. Results: Unilateral right-sided hydroureteronephrosis was present in 7 (36.8%) of the study subjects with hydroureteronephrosis. Hydroureteronephrosis was observed in 22.5% and 15% of the study subjects on the right and left side respectively during the second trimester. Hydroureteronephrosis was observed in 30% and 15% of the study subjects with urinary tract problems on the right and left side respectively. Hydroureteronephrosis was observed in 13 (52%) of the study subjects with no previous delivery. Conclusion: The incidence of hydroureteronephrosis was found to be 47.5%. Differentiation of physiological and pathological hydroureteronephrosis is necessary. A coordinated approach between obstetricians and urologists is essential to provide the best care for the mother and the fetus.

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Management of Acute Symptomatic Hydronephrosis of Pregnancy by Postural Drainage

Cited by 2 publications

References 12 publications

The Management of Symptomatic Hydronephrosis in Pregnancy

The Management of Symptomatic Hydronephrosis in Pregnancy

Assessment of Incidence of Hydroureteronephrosis among Pregnant Women of a Tertiary Care Hospital

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