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1828 OBSTETRIC COMPLICATIONS OF URETEROSCOPY DURING PREGNANCY

2011; Lippincott Williams & Wilkins; Volume: 185; Issue: 4S Linguagem: Inglês

10.1016/j.juro.2011.02.1847

1527-3792

Elizabeth Johnson, Amy E. Krambeck, Brian R. Matlaga, Kimberly Burgess, Elias S. Hyams, Michelle J. Semins, Vernon M. Pais,

Kidney Stones and Urolithiasis Treatments

You have accessJournal of UrologyStone Disease: New Technology/SWL, Ureteroscopic or Percutaneous Stone Removal1 Apr 20111828 OBSTETRIC COMPLICATIONS OF URETEROSCOPY DURING PREGNANCY Elizabeth Johnson, Amy Krambeck, Brian Matlaga, Kimberly Burgess, Elias Hyams, Michelle Jo Semins, and Vernon Pais Elizabeth JohnsonElizabeth Johnson Lebanon, NH , Amy KrambeckAmy Krambeck Rochester, MN , Brian MatlagaBrian Matlaga Baltimore, MD , Kimberly BurgessKimberly Burgess Rochester, MN , Elias HyamsElias Hyams Baltimore, MD , Michelle Jo SeminsMichelle Jo Semins Baltimore, MD , and Vernon PaisVernon Pais Lebanon, NH View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1847AboutPDF Cite Export CitationSelect Citation formatNLMAMAIEEEACMAPAChicagoMLAHarvardTips on citation downloadDownload citationCopy citation ToolsAdd to favoritesTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES During pregnancy, nephrolithiasis and its management may pose potential risks for the mother and the fetus. Ureteroscopy to definitively treat an obstructing stone is increasingly utilized. It has been reported that there is no increased risk of ureteral complications in gravid patients undergoing these procedures. However, the incidence of obstetric complications following ureteroscopy during pregnancy remains undefined. METHODS We retrospectively reviewed the charts of pregnant women who had undergone ureteroscopy at 3 tertiary medical centers. Type of anesthesia, procedure duration, stone size and location, use of lithotripsy, patient age, and gestational age were recorded. Records were evaluated for occurrence of obstetric complications in the post-operative period. RESULTS Eighteen women underwent 19 ureteroscopic procedures. Patient age ranged from 19 to 33; gestational age ranged from 9 to 35 weeks. All ureteral stones were successfully removed, and there was no fetal loss. Pre-term labor occurred within 24 hours postoperatively in two patients, both of whom had regional anesthesia. One was managed with tocolytic therapy and bed rest, the other required urgent cesarean section. CONCLUSIONS Ureteroscopic inspection and removal of stones was accomplished. No ureteral complications or fetal loss occurred. Obstetric complications were limited to preterm labor, the incidence of which was 10.5% in our series. This information may be useful for future patient counseling. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e733 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.Metrics Author Information Elizabeth Johnson Lebanon, NH More articles by this author Amy Krambeck Rochester, MN More articles by this author Brian Matlaga Baltimore, MD More articles by this author Kimberly Burgess Rochester, MN More articles by this author Elias Hyams Baltimore, MD More articles by this author Michelle Jo Semins Baltimore, MD More articles by this author Vernon Pais Lebanon, NH More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...