The efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patients

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dc.contributor.authorBozkurt, Yasar
dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorSoylemez, Haluk
dc.contributor.authorAtar, Murat
dc.contributor.authorSancaktutar, Ahmet Ali
dc.contributor.authorYildirim, Kadir
dc.contributor.authorSak, Muhammet Erdal
dc.date.accessioned2024-04-24T15:59:51Z
dc.date.available2024-04-24T15:59:51Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe aim of this study was to investigate the efficacy and safety of ureteroscopy (URS) in pregnant women. A retrospective analysis was performed on 32 pregnant patients referred to our center between April 2005 and November 2010 with hydronephrosis requiring surgical intervention. A semirigid URS of 9.5 F was used in all patients. The mean age of patients was 27.8 years (range 20-39), and the mean gestation duration was 24 weeks (15-34). The ultrasound findings were diagnostic of obstructive ureteral calculi in 16 (50%) patients and the mean stone diameter was 8 mm. Spinal anaesthesia was performed in 22 (68.8%) patients, while general anaesthesia was performed in 7 (21.8%) patients. Ureteric stones were found in 27 (84.3%) patients during endoscopy, 10 being distal, 9 middle and 8 proximal. There were no stones in five patients. The stones were fragmented with pneumatic lithotripsy in 8 patients and with holmium laser in 17 patients and the fragments were retracted with forceps. Of the 32 patients, 19 (59.4%) required JJ stent insertion peroperatively. There was no serious complication intraoperatively, while urinary tract infection developed in four and renal colic in two patients postoperatively. In one patient, sepsis developed postoperatively, and improved with appropriate treatment. All babies were born normally. Semirigid ureteroscopy for diagnosing and treating ureteral calculi by intracorporeal pneumatic or holmium laser lithotripsy is a safe and reasonable treatment option for pregnant patients.en_US
dc.identifier.doi10.1007/s00240-011-0454-y
dc.identifier.endpage535en_US
dc.identifier.issn0300-5623
dc.identifier.issue5en_US
dc.identifier.pmid22215294
dc.identifier.scopus2-s2.0-84867896178
dc.identifier.scopusqualityN/A
dc.identifier.startpage531en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-011-0454-y
dc.identifier.urihttps://hdl.handle.net/11468/14283
dc.identifier.volume40en_US
dc.identifier.wosWOS:000308813800012
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrological Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPregnancyen_US
dc.subjectUreteroscopyen_US
dc.subjectUrolithiasisen_US
dc.subjectHydronephrosisen_US
dc.titleThe efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patientsen_US
dc.titleThe efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patients
dc.typeArticleen_US

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