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Review on diagnosis and management of urolithiasis in pregnancy: an ESUT practical guide for urologists

Review on diagnosis and management of urolithiasis in pregnancy: an ESUT practical guide for urologists
Review on diagnosis and management of urolithiasis in pregnancy: an ESUT practical guide for urologists

PURPOSE: Management of urolithiasis in pregnancy can be challenging for most urologists with diagnostic and treatment dilemma to ensure the best outcome for both mother and fetus. We wanted to review the literature for urolithiasis in pregnancy with a practical management guide for urologists.

METHODS: A non-systematic review of literature was carried out for all English language literature using Medline. To ensure a more comprehensive search, the review of diagnosis and management of pregnant patients with urolithiasis was carried out separately, by two authors independently. Due to diagnostic complexity, investigations (US, CT, MRI) carried out were assessed separately.

RESULTS: Our search included diagnostic studies such as US, CT and MRI (73, 20 and 27 articles, respectively) and management studies (55 articles in total). Details on etiology, radiation risk, safety of various diagnostic modalities, medications and treatment options are covered through an evidence-based approach. We provide a practical guide for urologists in what is clearly a stressful situation for patient and physician alike.

CONCLUSIONS: Urolithiasis in pregnancy needs a careful multidisciplinary management to achieve good outcomes for both mother and baby. Our review shows that a balanced approach for diagnosis and treatment seems to achieve the best outcomes in pregnancy.

Journal Article, Review
0724-4983
1637-1649
Somani, Bhaskar K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Dellis, Athanasios
a72d7383-c2af-42e1-9419-a032206952c6
Liatsikos, Evangellos
8b245ec0-0978-4b72-becd-7f1f8f6c868c
Skolarikos, Andreas
7308ae8f-62d1-4ce6-9e66-d8c4c80294ad
Somani, Bhaskar K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Dellis, Athanasios
a72d7383-c2af-42e1-9419-a032206952c6
Liatsikos, Evangellos
8b245ec0-0978-4b72-becd-7f1f8f6c868c
Skolarikos, Andreas
7308ae8f-62d1-4ce6-9e66-d8c4c80294ad

Somani, Bhaskar K., Dellis, Athanasios, Liatsikos, Evangellos and Skolarikos, Andreas (2017) Review on diagnosis and management of urolithiasis in pregnancy: an ESUT practical guide for urologists. World Journal of Urology, 35 (11), 1637-1649. (doi:10.1007/s00345-017-2037-1).

Record type: Review

Abstract

PURPOSE: Management of urolithiasis in pregnancy can be challenging for most urologists with diagnostic and treatment dilemma to ensure the best outcome for both mother and fetus. We wanted to review the literature for urolithiasis in pregnancy with a practical management guide for urologists.

METHODS: A non-systematic review of literature was carried out for all English language literature using Medline. To ensure a more comprehensive search, the review of diagnosis and management of pregnant patients with urolithiasis was carried out separately, by two authors independently. Due to diagnostic complexity, investigations (US, CT, MRI) carried out were assessed separately.

RESULTS: Our search included diagnostic studies such as US, CT and MRI (73, 20 and 27 articles, respectively) and management studies (55 articles in total). Details on etiology, radiation risk, safety of various diagnostic modalities, medications and treatment options are covered through an evidence-based approach. We provide a practical guide for urologists in what is clearly a stressful situation for patient and physician alike.

CONCLUSIONS: Urolithiasis in pregnancy needs a careful multidisciplinary management to achieve good outcomes for both mother and baby. Our review shows that a balanced approach for diagnosis and treatment seems to achieve the best outcomes in pregnancy.

Full text not available from this repository.

More information

e-pub ahead of print date: 19 April 2017
Published date: November 2017
Keywords: Journal Article, Review

Identifiers

Local EPrints ID: 419044
URI: http://eprints.soton.ac.uk/id/eprint/419044
ISSN: 0724-4983
PURE UUID: 3722338e-d6b5-4b40-ae8c-c78361414224

Catalogue record

Date deposited: 28 Mar 2018 16:30
Last modified: 13 Mar 2019 18:44

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