2026, Number 3
<< Back Next >>
Rev Mex Urol 2026; 86 (3)
Hospitalizations due to urolithiasis during pregnancy in Mexico between 2020 and 2024: a retrospective observational study
Carrillo-Tah AJ, Flores-Tapia JP, Villarreal-Jiménez E, Méndez-Domínguez N
Language: Spanish
References: 25
Page: 1-10
PDF size: 751.78 Kb.
ABSTRACT
Introduction: urolithiasis is a pathology characterized by the development
of calculi in the urinary tract, which can lead to severe complications
if not timely identified. During pregnancy, urolithiasis can cause
maternal-fetal complications, increasing the risk of preeclampsia and
intrauterine mortality. Epidemiological studies on urolithiasis in Mexico
are scarce; therefore, understanding the epidemiology and disease
patterns during gestation is crucial for public and clinical health.
Objective: to describe the geographical, clinical, and sociodemographic
characteristics of hospitalizations for urolithiasis during pregnancy in
Mexico (2020–2024).
Methods: a descriptive, cross-sectional, and retrospective observational
study was conducted. We utilized hospital discharge data from the
Ministry of Health (Secretaría de Salud) between 2020 and 2024. Hospitalization
rates and descriptive statistics were calculated.
Results: a total of 126 hospitalizations for urolithiasis in pregnant women
were recorded, with Yucatán showing the highest rate (11.69/1,000
live births). Most cases were young primigravidas (mean 25.49 years),
with 47.61 % occurring in the second trimester. Differences were found
in the proportion of women with obesity between urolithiasis patients
and the general female population of reproductive age.
Conclusions: gestational urolithiasis is more common in young and
first-time mothers. These findings provide novel data for developing
regional preventive policies and improving prenatal care, emphasizing
timely diagnosis and follow-up.
REFERENCES
Kumar V, Abbas AK, Fausto N, Aster JC. Robbinsy Cotran. Patología estructural y funcional.Elsevier España; 2010.
Méndez-Molina R, Avilés-Murguía FJ, Millet-Herrera JL, Hernández-Castro DA, Echeverria-Ortegon EJ, Basulto-Martínez M, et al. A GiantKidney Stone in a 50-Year-Old Mayan GardenerFrom the Yucatan Peninsula: A Case Report.Cureus. 2023;15(12): e49994. https://doi.org/10.7759/cureus.49994.
Bratta D, Salinas M. Características clínicoepidemiológicas y enfermedad renal crónicaen pacientes con litiasis renal. Revista GICOS.2022;7(1): 183–194. https://doi.org/10.53766/GICOS/2022.07.01.13.
Ortegón-Gallareta R, Aguilar-Moreno J,Álvarez-Baeza A, Méndez-Domínguez N,Pech-Cervantes PI. Perfil epidemiológico de lashospitalizaciones por urolitiasis en el Estado deYucatán, México. Revista Mexicana de Urología.2019;79(5): 1–11. https://doi.org/10.48193/revistamexicanadeurologa.v79i5.517.
Basulto-Martínez M, Medina-Ocampo A. Litiasisrenal. El empedrado camino de la salud en Yucatán.Revista Hospital Medicine and Clinical Management.2019;12(4).
Glazer K, Brea IJ, Leslie SW, Vaitla P.Ureterolithiasis. In: StatPearls. Treasure Island (FL):StatPearls Publishing; 2026. http://www.ncbi.nlm.nih.gov/books/NBK560674/
Sebastian N, Czuzoj-Shulman N, Spence AR,Abenhaim HA. Maternal and fetal outcomes ofurolithiasis: A retrospective cohort study. Journal ofGynecology Obstetrics and Human Reproduction.2021;50(9): 102161. https://doi.org/10.1016/j.jogoh.2021.102161.
Secretaría de Salud. Informes Semanales para laVigilancia Epidemiológica de Muertes Maternas2025. 2024
Bohórquez-Rivero J, Restom-Arrieta J,Sáenz-López J, Sánchez-Martínez D, Brieva-Deulofeut M, Rodríguez-Lizarralde JP, et al.Nefrolitiasis en la paciente gestante: revisiónde la literatura. Revista chilena de obstetricia yginecología. 2021;86(3): 332–343. https://doi.org/10.24875/rechog.m21000010.
Dirección General de Información en Salud.Egresos Hospitalarios. 2026
Organización Panamericana de la Salud.Clasificación Estadística Internacional deEnfermedades y Problemas Relacionados con laSalud. 1995.
Instituto Nacional de Salud Pública. EncuestaNacional de Salud y Nutrición Continua 2022.Secretaría de Salud; 2022.
Instituto Nacional de Estadística y Geografía.Nacimientos registrados por entidad federativa deresidencia habitual de la madre según sexo, serieanual de 2010 a 2024. 2023
Instituto Nacional de Estadística y Geografía.Panorama sociodemográfico de Yucatán 2020.2020.
Dallas KB, Conti S, Liao JC, Sofer M, Pao AC,Leppert JT, et al. Redefining the Stone Belt:Precipitation Is Associated with IncreasedRisk of Urinary Stone Disease. Journal ofEndourology. 2017;31(11): 1203–1210. https://doi.org/10.1089/end.2017.0456.
Instituto Nacional de Estadística y Geografía.Población total por entidad federativa y grupoquinquenal de edad según sexo, serie de añoscensales de 1990 a 2020. 2020.
Thakur APS, Sharma V, Ramasamy V,Choudhary A, Patel P, Singh S, et al.Management of ureteric stone in pregnancy: areview. African Journal of Urology. 2020;26(1):60. https://doi.org/10.1186/s12301-020-00070-5.
Bjazevic J, Razvi H. Stones in pregnancyand pediatrics. Asian Journal of Urology.2018;5(4): 223–234. https://doi.org/10.1016/j.ajur.2018.05.006.
Instituto Nacional de Estadística y Geografía.Encuesta nacional de la dinámica demográfica.
2024.20. Laguado-Barrera T, Lafaurie-VillamilMM, Vargas-Escobar LM. Experiencias departicipación de los hombres en el cuidado desu pareja gestante. Duazary. 2019;16(1): 79–92.https://doi.org/10.21676/2389783X.2532.
López MG. Guía de atención psicológica dela mujer con complicaciones obstétricas.Perinatología y reproducción humana. 2018;32(2):85–92.
Secretaria de Salud. Subsistema de Informaciónsobre Nacimientos (SINAC).2022
Pray R, Riskin S. The History and Faults of theBody Mass Index and Where to Look Next: ALiterature Review. Cureus. 2023;15(11): e48230.https://doi.org/10.7759/cureus.48230.
Wang D, Tan J, Geng E, Wan C, Xu J, Yang B,et al. Impact of body mass index on size andcomposition of urinary stones: a systematicreview and meta-analysis. InternationalBrazilian Journal of Urology : Official Journalof the Brazilian Society of Urology. 2023;49(3):281–298. https://doi.org/10.1590/S1677-5538.IBJU.2022.0587.
Roberto Martínez P, Rodríguez ColoradoS, Escobar del Barco. Urolitiasis y embarazo.Ginecologia y Obstetricia de Mexico. 2007;75(6):357–363.