Cover Image

Ureteroscopy in pregnant women with complicated colic pain: Is there any risk of premature labor?

Salvatore Butticè, Antonio Simone Laganà, Salvatore Giovanni Vitale, Christopher Netsch, Yiloren Tanidir, Francesco Cantiello, Laurian Dragos, Michele Talso, Esteban Emiliani, Rosa Pappalardo, Tarik Emre Sener
  • Salvatore Butticè
    Department of Human Pathology - Section of Urology, University of Messina, Messina, Italy | salvobu@gmail.com
  • Antonio Simone Laganà
    Unit of Gynecology and Obstetrics, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy
  • Salvatore Giovanni Vitale
    Unit of Gynecology and Obstetrics, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy
  • Christopher Netsch
    Department of Urology, Asklepios Hospital Barmbek, Hamburg, Germany
  • Yiloren Tanidir
    Department of Urology, School of Medicine, Marmara University, Istanbul, Turkey
  • Francesco Cantiello
    Department of Urology, Magna Graecia University, Catanzaro, Italy
  • Laurian Dragos
    Clinical Emergency County Hospital "Pius Branzeu" Timisoara, University of Medicine and Pharmacy "Victor Babes" Timisoara, Romania
  • Michele Talso
    Department of Urology, IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Italy
  • Esteban Emiliani
    Department of Urology, Hôpital Tenon, Université Pierre et Marie Curie Paris VI, Paris, France; Groupe de Recherche Clinique sur la Lithiase Urinaire, GRC n° 20, Sorbonne Universités, Paris VI, France., France
  • Rosa Pappalardo
    Department of Human Pathology – Section of Urology, University of Messina, Messina, Italy
  • Tarik Emre Sener
    Department of Urology, School of Medicine, Marmara University, Istanbul, Turkey

Abstract

Objective: Clinical presentation of ureteral stones during pregnancy is generally with renal colic pain. The aim of this study is to present our experience in the management of renal colic during pregnancy in emergency settings. Materials and methods: 208 pregnant patients who presented to emergency department with renal colic pain and underwent ureteroscopy (URS) due to failed conservative therapy were enrolled in the study. Urinary tract stones were diagnosed either with ultrasound (US) examination or during URS. Laser lithotripsy and double J (DJ) stent placement were routinely done in all patients with ureteral stones. The incidence of infective complications and premature uterine contractions (PUC) due to URS were compared. Results: No stone was identified in 36.1% (n = 75) of patients with using US and diagnostic URS. Of the remaining 133 patients, 30 (22.6%) had no stone at US but stones were diagnosed during diagnostic URS. The type of anesthesia had no significant effect on PUC. An increased risk of sepsis and PUC was found in patients with fever at the initial presentation. Interestingly, PUC was more frequent in patients with lower serum magnesium levels. There was a significant correlation with time delay until the intervention and the risk of urosepsis and PUC, individually. Conclusions: Ureteroscopy is a safe option for evaluation of pregnant patients with unresolved renal colic. According to the current findings, timing of the operation is the most important factor affecting the septic risks and abortion threat. Surgical intervention with URS must be planned as soon as possible.

Keywords

Pregnancy; Urinary calculi; Renal colic

Full Text:

PDF
Submitted: 2017-08-31 20:11:19
Published: 2017-12-31 00:00:00
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
233

Views:
PDF
54

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Copyright (c) 2018 Salvatore Butticè, Antonio Simone Laganà, Salvatore Giovanni Vitale, Christopher Netsch, Yiloren Tanidir, Francesco Cantiello, Laurian Dragos, Michele Talso, Esteban Emiliani, Rosa Pappalardo, Tarik Emre Sener

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2018     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185     •     Privacy