[41] Complications of temporary urinary diversion using nephrostomy tube or JJ ureteric stent in pregnant women with symptomatic urolithiasis
Objective: To report the complications of JJ stent and percutaneous nephrostomy (PCN) tube causing hospitalisation of pregnant women, as symptomatic urolithiasis is one of the most important causes of abdominal pain during pregnancy and in some situations it is better to implement temporary treatmen...
Guardado en:
| Autores principales: | , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Taylor & Francis Group
2018
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/f3d3c273a8a64224b834dca6d785e902 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| Sumario: | Objective: To report the complications of JJ stent and percutaneous nephrostomy (PCN) tube causing hospitalisation of pregnant women, as symptomatic urolithiasis is one of the most important causes of abdominal pain during pregnancy and in some situations it is better to implement temporary treatment and postpone any surgical procedures. Methods: In this cohort study, from August 2013 to September 2016, 23 pregnant women with urolithiasis were referred to our centre in whom temporary urinary diversion was performed. The mean (SD; range) patient age was 27.1 (4.8; 20–37) years and most of them (69.5%) presented in the first trimester. All the procedures were done under ultrasonographic guidance with local anaesthesia. All the patients were followed routinely in the Urology and Gynaecology and Obstetrics clinics. Results: We inserted a PCN tube in 12 patients (52.1%) and a JJ stent in 11 (47.8%). The mean (SD) age of the patients was 27.5 (5.4) years in the PCN Group and 26.7 (4.3) years in the JJ-stent Group (P = 0.710). Of these, seven patients (30.4%) developed complications including febrile UTI (two of 12 in the PCN Group and one of 11 in the JJ-stent Group) and bothersome stent-related symptoms (four of 11 in the JJ-stent Group).The occurrence of complications was not significantly different between the groups (two of 12 in the PCN Group vs five of 11 in the JJ-stent Group, P = 0.193); these patients were admitted and after stabilisation surgical treatment using ureteroscopy was performed. Surgical treatments were done in the second trimester. All the patients completed their pregnancies to full-term without any serious obstetric complications. Conclusion: Temporary urinary diversion using a JJ stent or PCN tube can be associated with some potential complications that can threaten the mother and her foetus. In these situations, we advise temporary management until the second trimester when the surgical procedure is safer. |
|---|