Percutaneous management of urolithiasis during pregnancy

L. R. Kavoussi, D. M. Albala, J. W. Basler, S. Apte, R. V. Clayman

Research output: Contribution to journalArticlepeer-review

85 Scopus citations

Abstract

A total of 6 pregnant women with obstructing urinary calculi was managed by percutaneous nephrostomy drainage placed under ultrasound guidance with the patient under local anesthesia. All patients initially had relief of acute obstruction. However, occlusion of the percutaneous nephrostomy tubes with debris necessitated tube changes in 5 of 6 patients. In 2 patients recurrent nephrostomy tube obstruction, fever and pain led to percutaneous stone removal during pregnancy. In the remaining 4 patients the nephrostomy tubes were left indwelling through delivery. During the postpartum period 3 patients successfully underwent ureteroscopic stone extraction and 1 passed the stone spontaneously. Bacteriuria developed in each patient despite the use of preventive antibiotics. All 6 women had uncomplicated vaginal deliveries of healthy newborns and are currently asymptomatic with no evidence of obstruction. Percutaneous drainage of an acutely obstructed kidney in a pregnant woman is an effective temporizing alternative to ureteral stent placement until definitive treatment can be performed.

Original languageEnglish (US)
Pages (from-to)1069-1071
Number of pages3
JournalJournal of Urology
Volume148
Issue number3 II
DOIs
StatePublished - 1992
Externally publishedYes

Keywords

  • nephrostomy, percutaneous
  • pregnancy
  • urinary calculi

ASJC Scopus subject areas

  • Urology

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