Management of ureteric calculi during pregnancy by ureteroscopy and laser lithotripsy

Carringer, Malcolm; Swartz, R.; Johansson, Jan

doi:10.1046/j.1464-410x.1996.08433.x

Cited by 40 publications

(15 citation statements)

References 6 publications

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“…Carringer, et al [23] reported four pregnant women (mean age 29.5 years, range 27-35 years) with 5 episodes of ureteric stones who were treated by means of ureteroscopy and laser lithotripsy when the fetus was at 26 to 35 weeks of gestation. The calculi which were between 5 mm and 16 mm in diameter were located in the proximal ureter (1) and distal ureter (4).…”

Section: Published By Sciedu Pressmentioning

confidence: 99%

“…The calculi which were between 5 mm and 16 mm in diameter were located in the proximal ureter (1) and distal ureter (4). Carringer, et al [23] reported that:…”

Section: Published By Sciedu Pressmentioning

confidence: 99%

“…Carringer, et al [23] concluded that ureteroscopy and laser lithotripsy would appear, in experienced hands, to be a safe and reliable method in the treatment of ureteric calculi during pregnancy. Most cases can be treated without using fluoroscopy and in some cases the operation could be undertaken under local anesthesia.…”

Section: Published By Sciedu Pressmentioning

confidence: 99%

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Nephrostomy in pregnancy a district general hospital experience over five years

Venyo

Fatola

Adegbite

et al. 2014

JBGC

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Background: Obstructed kidney is also termed hydronephrosis. An obstructed kidney produces buildup of urine within the kidney which increases pressure within the kidney. This condition can be a result of several different causes of which pregnancy is one of them. Obstructed kidneys in pregnancy call for relieving by nephrostomy which is a thin, plastic tube (catheter) that is inserted through the skin on the back and into the kidney. It can relieve a build-up of urine in the kidney and prevents the kidney from being damaged. It drains urine directly from one or both kidneys into a collecting bag outside the body. The bag has a tap so it can be emptied. Aims: To find out the rate of nephrostomy tube insertion in pregnant women in North Manchester General Hospital between January 2009 -December 2013. To identify problems that emanated from insertion of the nephrostomies. Results: Fifteen patients out of 24,863 deliveries (0.06%) in our catchment area underwent 17 nephrostomy procedures. All the nephrostomy insertions were successfully and safely undertaken. There was no immediate complication. The complications that were noted include: subsequent blockage of nephrostomy tubes which required readmission to flush the tubes to render them patent, two nephrostomy tubes subsequently fell out which were replaced, there was 1 minor infection which was treated by oral antibiotics. Surgical causes of obstruction found at post-partum nephrostogram include calculi and ureteric strictures which were managed post-partum. All the pregnancies continued to full-term with delivery of normal full-term babies. Conclusions: Percutaneous nephrostomy insertion in the pregnant woman under ultra-sound scan guidance is a safe and effective procedure associated with minimal complications and this allows pregnancy to continue to full term. The fact that the blocked nephostomies could all be flushed easily to unblock the tubes would indicate that if all district nurses are taught how to carefully flush nephrostomies readmission with blocked nephrostomies would be minimised. Strict adherence to nephrostomy protocol would partly help reduce complications associated with nephrostomy insertion in pregnancy.

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Section: Published By Sciedu Pressmentioning

confidence: 99%

“…The calculi which were between 5 mm and 16 mm in diameter were located in the proximal ureter (1) and distal ureter (4). Carringer, et al [23] reported that:…”

Section: Published By Sciedu Pressmentioning

confidence: 99%

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Nephrostomy in pregnancy a district general hospital experience over five years

Venyo

Fatola

Adegbite

et al. 2014

JBGC

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“…[27][28][29][30][31] Lithoclast and laser were used during ureteroscopy to treat ureteric calculci. 27,31 The risk of primary uretroscopy in pregnancy include a 5% risk for minor abrasions, 32,33 2% risk of perforation and creation of a false passage, 32,33 1% risk of avulsion and stricture formation 32,33 and the risk of preterm labour and delivery.…”

Section: Primary Ureteroscopymentioning

confidence: 99%

Imaging and Initial Management of Loin Pain in Pregnant Women in District General Hospital

Kadi¹

2014

Nepal j. obstet. gynaecol.

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“…However, in recent years, many of the reports of URS in pregnant women have also utilized local or regional anesthesia. [202224–2628]…”

Section: Treatment Alternativesmentioning

confidence: 99%

Ureteroscopy during pregnancy

Semins

Matlaga

2009

Indian J Urol

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Urolithiasis during pregnancy is an uncommon, but a serious medical problem. Options for the treatment of pregnant women with obstructing stones include ureteral stent placement, percutaneous nephrostomy tube placement, and ureteroscopic stone removal (URS). Although ureteral stent and nephrostomy tube placement have been the historically standard treatment option for pregnant women with obstructing stones, there is an emerging collection of literature that reviews the safety of URS for pregnant women. We performed a systematic review of MEDLINE and EMBASE from January 1966 through April 2009 to identify all literature on URS in pregnant women. Herein, we review the literature on URS during pregnancy, with a focus on the safety of this approach. We conclude that URS is an appropriate intervention in the pregnant population with urolithiasis; in all cases the procedure should be performed on a properly selected patient by a surgeon with appropriate experience and equipment. With such an approach, complication rates are low and success rates are high. A multidisciplinary approach should be emphasized as a key to a successful outcome.

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Management of ureteric calculi during pregnancy by ureteroscopy and laser lithotripsy

Abstract: Ureteroscopy and laser lithotripsy seem, in experienced hands, to be a safe and reliable method in the treatment of ureteric calculi during pregnancy. Most cases can be treated without using fluoroscopy and in some cases the operation can be performed under local anaesthesia.

Cited by 40 publications

References 6 publications

Nephrostomy in pregnancy a district general hospital experience over five years

Nephrostomy in pregnancy a district general hospital experience over five years

Imaging and Initial Management of Loin Pain in Pregnant Women in District General Hospital

Ureteroscopy during pregnancy

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