2020
DOI: 10.1186/s12301-020-00070-5
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Management of ureteric stone in pregnancy: a review

Abstract: Background Urolithiasis in pregnancy is a major health concern and is one of the most common causes for non-obstetrical abdominal pain and subsequent hospital admission during pregnancy. The incidence of urinary calculi during pregnancy varies in the range of 1/200 to 1/2000. Acute ureteric colic in pregnancy is associated with significant potential risks to both mother and fetus. Significant anatomic and functional changes occur in pregnancy which not only lead to stone formation but also crea… Show more

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Cited by 11 publications
(15 citation statements)
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References 120 publications
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“…In our study, right and left donor nephrectomy group ladies were comparable in terms of urologic complications during postdonation pregnancy as well as blood pressure, kidney function, urine analysis and ultrasound ndings at last follow up contrary to our expectation that donors with a solitary right kidney would be more liable to urologic complications of pregnancy and subsequent impact on kidney function. Nevertheless, our results could be supported by extrapolation from studies of the general population that did not show an increased prevalence of urinary tract infection [12] or stone kidney disease [13][14][15] during pregnancy despite the known anatomic and physiologic effects of pregnancy on the urinary system. In addition, donors included in our study didn't have a periodic follow up renal ultrasound throughout pregnancy and we, therefore, are not con dent whether they experienced hydronephrosis and whether those with a solitary right (compared to left) kidney had a signi cantly higher prevalence and/or degree of hydronephrosis during their post-donation pregnancy.…”
Section: Discussionsupporting
confidence: 61%
“…In our study, right and left donor nephrectomy group ladies were comparable in terms of urologic complications during postdonation pregnancy as well as blood pressure, kidney function, urine analysis and ultrasound ndings at last follow up contrary to our expectation that donors with a solitary right kidney would be more liable to urologic complications of pregnancy and subsequent impact on kidney function. Nevertheless, our results could be supported by extrapolation from studies of the general population that did not show an increased prevalence of urinary tract infection [12] or stone kidney disease [13][14][15] during pregnancy despite the known anatomic and physiologic effects of pregnancy on the urinary system. In addition, donors included in our study didn't have a periodic follow up renal ultrasound throughout pregnancy and we, therefore, are not con dent whether they experienced hydronephrosis and whether those with a solitary right (compared to left) kidney had a signi cantly higher prevalence and/or degree of hydronephrosis during their post-donation pregnancy.…”
Section: Discussionsupporting
confidence: 61%
“…34 Urolithiasis during pregnancy is one of the leading causes of abdominal pain and subsequent hospital admission during the pregnancy. 1 From the etiological point of view, anatomical and physiological changes during the pregnancy may impact the potential stone formation and make pregnant women more susceptible to kidney stones. 53,54 Yet, studies could not detect a significant incidence difference between pregnant and nongravid women.…”
Section: Discussionmentioning
confidence: 99%
“…51 During the first trimester and in the case of large stone burden, sepsis, or pyonephrosis, PCN is also a helpful intervention, which can be performed under local anesthesia with US guidance. 1,29 Its efficacy is near 100%.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…MRI can also serve to visualise other causes for the abdominal pain such as appendicitis. Several protocols have been described such as thin-slice, fast spin echo (FSE) for detection of small stones [31]. An alternative is the half-life Fourier singe-shot turbo spin-echo (HASTE) protocol, which can be completed in less than 15 min [32].…”
Section: Magnetic Resonance Imaging (Mri)mentioning
confidence: 99%