Ureteroscopy and holmium:YAG laser lithotripsy: an emerging definitive management strategy for symptomatic ureteral calculi in pregnancy

Watterson, James; Girvan, Andrew R.; Beiko, Darren; Nott, Linda; Wollin, Timothy A.; Razvi, Hassan; Denstedt, John D.

doi:10.1016/s0090-4295(02)01751-x

Cited by 129 publications

(20 citation statements)

References 26 publications

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“…102 A number of studies have demonstrated that URS is a viable technique to treat stones in pregnancy. 102,105,106 Postoperative stenting following URS in this situation is recommended in an attempt to reduce postoperative complications. 102 Ideally ureteroscopic treatment should be performed in the second trimester, as teratogenic effects and risks of anaesthesia are higher in the first trimester.…”

Section: Pregnancymentioning

confidence: 99%

CUA Guideline: Management of ureteral calculi

Ordon

Andonian²,

Blew³

et al. 2015

CUAJ

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The focus of this guideline is the management of ureteral stones. Specifically, the topics covered include: conservative management, medical expulsive therapy, active intervention with either shockwave lithotripsy (SWL) or ureteroscopy (URS), factors affecting SWL treatment success, optimizing success, and special considerations (e.g., pregnancy, urinary diversion). By performing extensive literature reviews for each topic evaluated, we have generated an evidence-based consensus on the management of ureteral stones. The objective of this guideline is to help standardize the treatment of ureteral stones to optimize treatment outcomes.

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Section: Pregnancymentioning

confidence: 99%

CUA Guideline: Management of ureteral calculi

Ordon

Andonian²,

Blew³

et al. 2015

CUAJ

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“…Also, most patients undergoing ureteroscopy are currently treated as outpatients and the overall cost of intervention is less than that reported for SWL or more invasive stone therapies [60]. Finally, characteristics of the Ho:YAG laser have made ureteroscopic stone treatment of distal stones a reality among patients with uncorrected bleeding diatheses or during pregnancy [61,62].…”

Section: Distal Ureteric Stonesmentioning

confidence: 99%

Management of ureteric stones: issues and controversies

Gettman

Segura

2005

BJU International

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passage in 29-98% of stones of < 5 mm diameter above the iliac vessels, and 71-98% of stones of < 5 mm diameter below the iliac vessels. For stones of 5-10 mm diameter, spontaneous passage occurred in 10-53% of proximal calculi and 25-53% of distal calculi. In a multivariate analysis of risk factors associated with spontaneous ureteric stone passage, Miller and Kane [2] found that smaller, more distal stones on the right side were more likely to spontaneously pass and require fewer surgical interventions. In a recent report by Coll et al. [3] spontaneous ureteric stone passage rates, regardless of size, were 48%, 60%, 75% and 79% for stones in the proximal, middle and distal ureter or at the vesico-ureteric junction, respectively.

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“…The holmium‐doped YAG laser is not currently in use for dermatologic conditions but has been deemed safe during pregnancy for treatment of conditions such as ureteral calculi …”

Section: Injectablesmentioning

confidence: 99%