Percutaneous nephrolithotomy in early pregnancy

International Journal of Clinical Practice
A ShahP Dasgupta

Abstract

Most cases of urolithiasis in pregnancy are managed conservatively either with ureteric stents or percutaneous nephrostomy tubes, which need to be changed at regular intervals. Definitive management of the stone is usually delayed till after delivery. We describe a patient who presented with pyonephrosis in the fifth week of gestation, due to a stone obstructing the right ureteropelvic junction. This was managed by insertion of a nephrostomy tube. She declined nephrostomy tube/stent changes during the rest of her pregnancy and requested termination as an alternative. She successfully underwent percutaneous nephrolithotomy in the 14th week of pregnancy, with radiation exposure strictly localised to the kidney for 6 s. A healthy male baby was delivered at term.

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Citations

Apr 2, 2008·Journal of Endourology·Shalom J SrirangamB Van Cleynenbreugel
Nov 28, 2012·The Urologic Clinics of North America·Yung K TanMantu Gupta
Nov 27, 2008·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·C SaussineO Traxer
Sep 1, 2016·Journal of Endourology Case Reports·Giuseppe GiustiAntonello De Lisa
Jul 4, 2006·The Journal of Urology·C Gerry HendersonH Gil Rushton
May 28, 2016·Chonnam Medical Journal·Chang Il ChoiDong Soo Park
Oct 19, 2006·Obstetrical & Gynecological Survey·Clint M CormierJohn B Mailhes
Mar 22, 2018·Therapeutic Advances in Urology·Marie-Therese I Valovska, Vernon M Pais
Sep 1, 2014·Obstetric Medicine·Shireen MeherRanan DasGupta
Apr 21, 2017·World Journal of Urology·Bhaskar K SomaniAndreas Skolarikos

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