Minimally invasive procedures for urological disorders in pregnant patients: our experience

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dc.contributor.authorDar, Manzoor Ahmaden_US
dc.contributor.authorIqbal, Muzzainen_US
dc.contributor.authorKhawaja, Abdul Roufen_US
dc.contributor.authorWani, Mohammad Saleemen_US
dc.contributor.authorBhat, Arif Hamiden_US
dc.contributor.authorMalik, Sajad Ahmaden_US
dc.contributor.authorDar, Yaser Ahmaden_US
dc.date.accessioned2020-11-18T10:03:50Z
dc.date.available2020-11-18T10:03:50Z
dc.date.issued2020-01
dc.description.abstractBackground: Urological disorders like stone disease, pyonephrosis secondary to obstruction and trauma are common during pregnancy with global incidence of 1 in 250 to 1 in 3000. These diseases can complicate any pregnancy and timely diagnosis and management is of utmost importance for safety of the mother and fetus. Managing these cases entails morbidity and minimally invasive procedures avoiding anesthesia have definite advantage.Methods: It was an observational study. Pregnant patients with nephrolithiasis, pyonephrosis, complicated post-traumatic ureteropelvic junction (PUJ) obstruction (PUJO) and trauma were included in the study.Results: Out of total 84 cases, 45 required intervention. Percutaneous nephrostomy (PCN) for pyonephrosis secondary to PUJO and obstructed PUJ calculus was done in 11 and 14 cases respectively. Bilateral PCN for bilateral nephrolithiasis was done in 7 cases. Silicon double-J stenting for ureteric calculus was done in 13 cases. One case of spontaneous fornicial rupture of kidney without stone disease was managed conservatively as were 4 cases of trauma with concomitant renal injury, 18 cases of non-obstructive renal stones and 16 cases of pyelonephritis. Seven patients lost follow-up. One case each of pyonephrosis and polytrauma had fetal death at term unrelated to urological cause. In rest 75 patients, primary pathology was tackled after 6-8 weeks of delivery.Conclusions: Urological diseases during pregnancy are not an uncommon entity and can pose risk to both mother and fetus. With good clinical vigil, use of minimally invasive procedures, close monitoring and follow up, these patients can be safely managed without any adverse events to the fetus and mother.en_US
dc.identifier.affiliationsDepartment of Urology, Sheri Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, Indiaen_US
dc.identifier.citationDar Manzoor Ahmad, Iqbal Muzzain, Khawaja Abdul Rouf, Wani Mohammad Saleem, Bhat Arif Hamid, Malik Sajad Ahmad, Dar Yaser Ahmad. Minimally invasive procedures for urological disorders in pregnant patients: our experience. International Surgery Journal. 2020 Jan; 7(1): 240-243en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212723
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20195977en_US
dc.subjectPregnancyen_US
dc.subjectMinimally invasiveen_US
dc.subjectUrological disordersen_US
dc.subjectRenal calculien_US
dc.subjectPCNen_US
dc.titleMinimally invasive procedures for urological disorders in pregnant patients: our experienceen_US
dc.typeJournal Articleen_US
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