Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centre

Authors

  • Abhishek Shukla Senior Resident, Department of Urology and Renal Transplant, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh https://orcid.org/0000-0003-1090-6140
  • Vishakha Dixit Assistant Professor, Department of Obstetrics and Gynaecology, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh https://orcid.org/0000-0002-5676-2202
  • Divya Jain Associate Professor, Department of Obstetrics and Gynaecology, Maharani LaxmiBai Medical College, Jhansi, Uttar Pradesh, India
  • Shailendra Patel Senior Resident, Department of Urology and Renal Transplant, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh
  • Manish Jain Professor and Head, Department of Urology and Renal Transplant, Sri Aurobindo Institute of Medical Sciences, Indore, Madhya Pradesh https://orcid.org/0000-0002-8547-2116

DOI:

https://doi.org/10.3126/ajms.v13i11.45167

Keywords:

Urolithiasis; Pregnancy; Ureterorenoscopy; DJ-stenting; Percutaneous nephrostomy

Abstract

Background: Urolithiasis during pregnancy is a complex health problem that can affect maternal and fetal health, needs adequate understanding of the management options available and their relative pros and cons. Patient management needs involvement of obstetrician, radiologist and urologist, as a multidisciplinary team, to avoid any obstetric complications, such as spontaneous abortion and preterm delivery.

Aims and Objectives: The aim of the study was to evaluate urolithiasis and its management in pregnant women at our tertiary care center.

Materials and Methods: We analyzed data of 45 patients diagnosed with urolithiasis during pregnancy between January 2017 and March 2022.We evaluated patients age, gestational age history of urolithiasis, physical examination findings, routine laboratory findings, location, and size of the stone. The effectiveness and complications of the applied treatment methods were also evaluated.

Results: The mean age of 45 patients included in our study was 25 (25.2±4.8) years with mean gestational age of 18.2 weeks. The mean stone size was 10.2 mm and the most common symptom at the time of presentation to hospital was flank pain (73%). Kidney stones were detected in 26 patients and ureteral stones in 19 patients. Although conservative treatment was sufficient in 22 (48.9%) patients, 31 (51.1%) patients required surgical intervention. Major obstetric complications, such as preterm delivery and miscarriage, did not occur in any patients.

Conclusion: Urolithiasis during pregnancy can pose a challenge to urologists, obstetricians, and radiologists, requiring a prompt diagnosis and urgent treatment. On failure of medical management, definitive endoscopic treatment of an acute stone event is a reasonable strategy. In determining the treatment options, fetal and maternal health should be of utmost importance.

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Published

2022-11-01

How to Cite

Shukla, A., Dixit, V., Jain, D., Patel, S., & Jain, M. (2022). Management of symptomatic urolithiasis during pregnancy: Clinical experience from a tertiary centre. Asian Journal of Medical Sciences, 13(11), 152–157. https://doi.org/10.3126/ajms.v13i11.45167

Issue

Vol. 13 No. 11 (2022)

Section

Original Articles

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Copyright (c) 2022 Asian Journal of Medical Sciences

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