[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...

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Autores principales:	Abdolreza Haghpanah, Dariush Irani, Anahita Dehghani
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/f3d3c273a8a64224b834dca6d785e902
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spelling	oai:doaj.org-article:f3d3c273a8a64224b834dca6d785e9022021-12-02T10:50:51Z[41] Complications of temporary urinary diversion using nephrostomy tube or JJ ureteric stent in pregnant women with symptomatic urolithiasis2090-598X10.1016/j.aju.2018.10.088https://doaj.org/article/f3d3c273a8a64224b834dca6d785e9022018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301827https://doaj.org/toc/2090-598XObjective: 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.Abdolreza HaghpanahDariush IraniAnahita DehghaniTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S20- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Abdolreza Haghpanah Dariush Irani Anahita Dehghani [41] Complications of temporary urinary diversion using nephrostomy tube or JJ ureteric stent in pregnant women with symptomatic urolithiasis
description	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.
format	article
author	Abdolreza Haghpanah Dariush Irani Anahita Dehghani
author_facet	Abdolreza Haghpanah Dariush Irani Anahita Dehghani
author_sort	Abdolreza Haghpanah
title	[41] Complications of temporary urinary diversion using nephrostomy tube or JJ ureteric stent in pregnant women with symptomatic urolithiasis
title_short	[41] Complications of temporary urinary diversion using nephrostomy tube or JJ ureteric stent in pregnant women with symptomatic urolithiasis
title_full	[41] Complications of temporary urinary diversion using nephrostomy tube or JJ ureteric stent in pregnant women with symptomatic urolithiasis
title_fullStr	[41] Complications of temporary urinary diversion using nephrostomy tube or JJ ureteric stent in pregnant women with symptomatic urolithiasis
title_full_unstemmed	[41] Complications of temporary urinary diversion using nephrostomy tube or JJ ureteric stent in pregnant women with symptomatic urolithiasis
title_sort	[41] complications of temporary urinary diversion using nephrostomy tube or jj ureteric stent in pregnant women with symptomatic urolithiasis
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/f3d3c273a8a64224b834dca6d785e902
work_keys_str_mv	AT abdolrezahaghpanah 41complicationsoftemporaryurinarydiversionusingnephrostomytubeorjjuretericstentinpregnantwomenwithsymptomaticurolithiasis AT dariushirani 41complicationsoftemporaryurinarydiversionusingnephrostomytubeorjjuretericstentinpregnantwomenwithsymptomaticurolithiasis AT anahitadehghani 41complicationsoftemporaryurinarydiversionusingnephrostomytubeorjjuretericstentinpregnantwomenwithsymptomaticurolithiasis
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[41] Complications of temporary urinary diversion using nephrostomy tube or JJ ureteric stent in pregnant women with symptomatic urolithiasis

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