Martínez PR, Rodríguez CS, Escobar BL

Language: Spanish
References: 10
Page: 357-363
PDF size: 204.50 Kb.

ABSTRACT

Urolithiasis disease during pregnancy fortunately is a relatively rare disease; nevertheless many times it complicates the diagnosis and treatment. This paper reviews the safety and efficacy of both and their relationships with mother and fetus and proposes different options for the urologist, gynecologist, and urogynecologist for the attention of pregnant women with suspicion of urolithiasis. The ultrasound seems to be the first-choice method during the pregnancy; it is available in many health centers and does not require too much experience for its interpretation. Intravenous urography, simple X-ray and magnetic resonance image with its limitations aid support to our clinical suspicion; additionally the uretheroscopy is the diagnostic and therapeutic method and can be used safely during the pregnancy; thus first-choice study is the ultrasound with changes in vascular resistance rates. Once diagnosis is established, conservative treatment is applied because the majority of patients has spontaneous elimination of stones (70 to 80%). Surgical intervention can be an option and when is needed, placement of an uretheral catheter JJ, percutaneous nephrostomy and uretheroscopy may be an option to definitive treatment.

REFERENCES

1. Romero Nava LE, Velásquez Sánchez MP, Kunhardt Rasch JR. Urolitiasis y embarazo. Presentación de resultados y norma de manejo en el Instituto Nacional de Perinatología. Ginecol Obstet Mex 2004;72:515-24.

2. Biyani CS, Joyce AD. Urolithiasis in pregnancy II: management. BJU Int 2002;89:819-23.

3. Tiselius HG, Ackermann D, Alken P, Buck C, et al. Guidelines on urolithiasis. Eur Urol 2001;40:362-71.

4. Evans HJ, Wollin TA. The management of the urinary calculi in pregnancy. Curr Opin Urol 2001;11:379-84.

5. Cormier CM, Canzoneri BJ, Lewis DF, Briery C, et al. Urolithiasis in pregnancy: current diagnosis, treatment and pregnancy complications. Obstet Gynecol Survey 2006;61(11):733-41.

6. McAleer SJ, Loughlin KR. Nephrolithiasis and pregnancy. Curr Opin Urol 2004;14:123-7.

7. Drago JR, Rohner TJ, Chez RA. Management of urinary calculi in pregnancy. Urology 1982;20:578-81.

8. Lewis DF, Robichaux AG, Jaekle JR, Marcum NG, et al. Urolithiasis in pregnancy. Diagnosis, management and pregnancy outcome. J Reprod Med 2003;48:28-32.

9. Stohers L, Lee LM. Renal colic in pregnancy. J Urol 1992;148:1383-7.

10. Butler EL, Cox SM, Eberts EG, Cunningham FG. Symptomatic nephrolithiasis complicating pregnancy. Obstet Gynecol 2000;96:753-6.