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Ureteroscopy in Pregnant Women for Ureteral Stone

dc.contributor.authorTravassos, Marcelo [UNESP]
dc.contributor.authorAmselem, Isaac
dc.contributor.authorSa Filho, Newton
dc.contributor.authorMiguel, Marshall
dc.contributor.authorSakai, Americo
dc.contributor.authorConsolmagno, Horacio
dc.contributor.authorNogueira, Marcos
dc.contributor.authorFugita, Oscar Eduardo Hidetoshi [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionHosp Sao Camilo Santana
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2014-05-20T13:38:55Z
dc.date.available2014-05-20T13:38:55Z
dc.date.issued2009-03-01
dc.description.abstractIntroduction: The occurrence of urolithiasis in pregnancy represents a challenge in both diagnosis and treatment of this condition, because it presents risks not only to the mother but also to the fetus. Surgical treatment may be indicated for patients with infection, persistent pain, and obstruction of a solitary kidney. We present our experience on the management of pregnant patients with ureteral calculi and a review of the literature.Materials and Methods: The charts of 19 pregnant patients with obstructive ureteral calculi were retrospectively reviewed. Gestational age ranged from 13 to 33 weeks. In all patients, ureteral stone was diagnosed on abdominal ultrasound. In regard to localization, 15 calculi were in the distal ureter, 3 in the proximal ureter, and 1 in the interior of an ureterocele. Calculi size ranged from 6 to 10 mm (mean, 8 mm). The following criteria were used to indicate ureteroscopy: persistent pain with no improvement after clinical treatment, increase in renal dilation, or presence of uterine contractions. Nine patients (47.3%) were submitted to ureteroscopy. All calculi (100%) were removed with a stone basket extractor under continuous endoscopic vision. None of the calculi demanded the use of a lithotriptor.Results: Nine patients (47.3%) treated with clinical measurements presented no obstetric complications and spontaneous elimination of the calculi. Nine patients (47.3%) submitted to ureteroscopy had no surgical complications. There was remission of pain in all cases after ureteroscopy and ureteral catheter placement.Conclusion: The diagnosis and treatment of ureteral lithiasis in pregnant women present potential risks for the fetus and the mother. Conservative management is the first option, but ureteroscopy may be performed with safety and high success rates.en
dc.description.affiliationSão Paulo State Univ, Dept Urol, Botucatu, SP, Brazil
dc.description.affiliationHosp Sao Camilo Santana, Dept Urol, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Dept Surg, Univ Hosp, BR-09500900 São Paulo, Brazil
dc.description.affiliationUnespSão Paulo State Univ, Dept Urol, Botucatu, SP, Brazil
dc.format.extent405-407
dc.identifierhttp://dx.doi.org/10.1089/end.2008.0181.23.3
dc.identifier.citationJournal of Endourology. New Rochelle: Mary Ann Liebert Inc., v. 23, n. 3, p. 405-407, 2009.
dc.identifier.doi10.1089/end.2008.0181.23.3
dc.identifier.fileWOS000264453400012.pdf
dc.identifier.issn0892-7790
dc.identifier.urihttp://hdl.handle.net/11449/13495
dc.identifier.wosWOS:000264453400012
dc.language.isoeng
dc.publisherMary Ann Liebert, Inc.
dc.relation.ispartofJournal of Endourology
dc.relation.ispartofjcr2.038
dc.relation.ispartofsjr1,088
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.titleUreteroscopy in Pregnant Women for Ureteral Stoneen
dc.typeArtigo
dcterms.licensehttp://www.liebertpub.com/reprints/journal-of-endourologybr--and-part-b-videourology/32/
dcterms.rightsHolderMary Ann Liebert Inc.
dspace.entity.typePublication
unesp.campusUniversidade Estadual Paulista (UNESP), Faculdade de Medicina, Botucatupt
unesp.departmentUrologia - FMBpt

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