Ureteroscopy and holmium laser lithotripsy in pregnancy: stents must be used postoperatively

Journal of Endourology
Haluk AkpinarAli Riza Kural

Abstract

To present our experience with ureteroscopy and holmium laser lithotripsy in pregnant patients and discuss the need for stents postoperatively. A retrospective analysis was performed on seven consecutive pregnant patients presenting with renal colic necessitating intervention between 1997 and 2003. One patient presented during the first, five in the second, and one in the third trimester. Abdominal ultrasonography was the primary diagnostic test. If the stone could not be seen with a rigid ureteroscope, flexible ureteroscopy (f-URS) was performed. Stones were fragmented with a holmium laser, and large fragments were taken out. Ureteral stents were placed routinely in all but the first two patients. The ureteral stones could be seen with ultrasonography in three patients. In four patients, holmium lasertripsy could be done by the rigid ureteroscope. In the remaining patients, f-URS was performed, and two upper-system stones were fragmented. Six patients were rendered stone free. In one patient, both collectingsystem dilation and right perirenal liquid accumulation were present by ultrasonography, but no stones could be detected. Ureteral-stent insertion reduced postoperative pain and analgesic use in the whole group. When conser...Continue Reading

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Citations

Mar 28, 2013·Urolithiasis·Yasar BozkurtMehmet Sıddık Evsen
Jun 19, 2013·Abdominal Imaging·Gabriele MasselliGianfranco Gualdi
Nov 29, 2007·Journal of Endourology·Ronald A RubensteinRobert B Nadler
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