Volume 6, Issue 1 (Spring & Summer 2022)
J Res Urol 2022, 6(1): 45-51 |
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Hosseini M M, Jahanabadi Z, Rashidi B, Irani D, Haghpanah A, Eslahi A et al . Evaluation of Treatment Results for Pregnant Woman with Acute Renal Colic Referred to the Emergency unit of Shahid Faghihi Shiraz Hospital (2015 to 2020). J Res Urol 2022; 6 (1) :45-51
URL: http://urology.umsha.ac.ir/article-1-111-en.html
URL: http://urology.umsha.ac.ir/article-1-111-en.html
Mohammad Mehdi Hosseini 
, Zahra Jahanabadi1 , Bahareh Rashidi1 , Dariush Irani1 , Abdolreza Haghpanah1 , Ali Eslahi1 , Iman Shamohammadi *2
, Zahra Jahanabadi1 , Bahareh Rashidi1 , Dariush Irani1 , Abdolreza Haghpanah1 , Ali Eslahi1 , Iman Shamohammadi *2
1- Department of Urology, Shiraz University of Medical Science, Shiraz, Iran
2- Department of Urology, Shiraz University of Medical Science, Shiraz, Iran ,imanshamohammadi@yahoo.com
2- Department of Urology, Shiraz University of Medical Science, Shiraz, Iran ,
Abstract: (2061 Views)
Background and Objective: Renal colic is one of the common causes of abdominal pain in pregnant women. The present study aimed to evaluate the outcome of renal colic during pregnancy in our referral center.
Materials and Methods: From March 2015 to March 2020, a total of 228 pregnant patients were referred to the emergency unit with renal colic. Most of them were managed conservatively; nonetheless, some of them were complicated and needed more procedures.
Results: Of 228 patients, 179 patients had only microscopic hematuria and mild hydronephrosis with small or no stone in ultrasonography. They responded to conservative management and were discharged. Moreover, 26 patients had ureteral stones smaller than 6 mm that were passed with medical therapy. A number of 11 patients were in the third trimester with ureteral stone and/or renal stone for which percutaneous nephrostomy was applied. In addition, 12 patients who had large distal ureteric stones underwent ureteroscopy and stent insertion. A number of 24 patients that were in the first or second trimester had an internal stent (15 patients) or nephrostomy (9 patients) until the delivery of their fetus. Finally, three patients in the second trimester did not tolerate/accept complicated stent or nephrostomy, so they had intractable colic. After explaining all the possible complications and obtaining written informed consent, they were scheduled for urgent percutaneous nephrolithotomy with ultrasonographic guidance in a flank position.
Conclusion: Renal colic in pregnancy is common and mostly managed conservatively; however, in some cases, the patients may need nephrostomy tube insertion, ureteroscopy, and stent insertion. Extracorporeal shock wave lithotripsy is contraindicated, and percutaneous nephrolithotomy is not recommended as the first opinion in pregnancy unless in an urgent situation.
Materials and Methods: From March 2015 to March 2020, a total of 228 pregnant patients were referred to the emergency unit with renal colic. Most of them were managed conservatively; nonetheless, some of them were complicated and needed more procedures.
Results: Of 228 patients, 179 patients had only microscopic hematuria and mild hydronephrosis with small or no stone in ultrasonography. They responded to conservative management and were discharged. Moreover, 26 patients had ureteral stones smaller than 6 mm that were passed with medical therapy. A number of 11 patients were in the third trimester with ureteral stone and/or renal stone for which percutaneous nephrostomy was applied. In addition, 12 patients who had large distal ureteric stones underwent ureteroscopy and stent insertion. A number of 24 patients that were in the first or second trimester had an internal stent (15 patients) or nephrostomy (9 patients) until the delivery of their fetus. Finally, three patients in the second trimester did not tolerate/accept complicated stent or nephrostomy, so they had intractable colic. After explaining all the possible complications and obtaining written informed consent, they were scheduled for urgent percutaneous nephrolithotomy with ultrasonographic guidance in a flank position.
Conclusion: Renal colic in pregnancy is common and mostly managed conservatively; however, in some cases, the patients may need nephrostomy tube insertion, ureteroscopy, and stent insertion. Extracorporeal shock wave lithotripsy is contraindicated, and percutaneous nephrolithotomy is not recommended as the first opinion in pregnancy unless in an urgent situation.
Type of Study: Applicable |
Subject:
Endourology
Received: 2022/10/11 | Accepted: 2023/01/15 | Published: 2022/09/1
Received: 2022/10/11 | Accepted: 2023/01/15 | Published: 2022/09/1
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