WHICH TREATMENT METHOD SHOULD BE USED IN PREGNANT PATIENTS WITH URETERAL CALCULI? TWO CENTER COMPARATIVE STUDY
[ X ]
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Iniestares, S.A.
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
OBJECTIVES: We aimed to compare ureterolithotripsy and inserting only ureteral-j stent in terms of efficiency safety and patient comfort in treatment of ureteral calculi in pregnant patients. METHODS: Seventy patients who developed hydronephrosis due to ureteral calculi during pregnancy and on whom endoscopic intervention was performed were included in the study In a center, the stones were broken up by ureteroscopy, and then ureteral stents (JJ) were placed if needed. In the other center, nothing was performed on the stones, and only ureteral stents (JJ) was placed. For the statistical analysis, Pearson's chisquared test and the Mann-Whitney U tests were used and the significance level was determined as p < 0.05. RESULTS: The average age of the patients was 26.2 years (18-39) and the average gestational week was 23.4 weeks (8-36). While no significant difference was found between the two groups in terms of the frequency of complications (p=0.381) and post-operative pyelonephritis (p=0.2), the need for additional intervention in the group on whom ureteroscopy was performed was found to be less (9.7% vs. 31%; p=0.032). Moderate or severe LUTS or flank pain during the period between the procedure and the birth was found to be significantly less in the group in which ureterolithotripsy was performed (14% vs. 55%; p=0.036). CONCLUSIONS: Ureterolithotripsy is a safe and more comfortable procedure than only ureteral double-j insertion on pregnant patients with ureterolithiasis.
Açıklama
Anahtar Kelimeler
Ureteral Stone, Pregnancy, Ureterolithotripsy, Ureteral Stent
Kaynak
Archivos Espanoles De Urologia
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
68
Sayı
4
