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Outcomes of ureteroscopy for stone disease in pregnancy: results from a systematic review of the literature

Outcomes of ureteroscopy for stone disease in pregnancy: results from a systematic review of the literature
Outcomes of ureteroscopy for stone disease in pregnancy: results from a systematic review of the literature

Introduction: our aim was to evaluate the clinical efficacy and safety of ureteroscopy as a primary treatment for pregnant women with symptomatic ureteric stones who have failed conservative management.

Materials and methods: a systematic review of the literature from January 1990 to June 2011 was performed, including all English language articles. Outcome measures were clinical efficacy, in terms of stone clearance and need for additional procedures, and safety in terms of complications.

Results: a total of 239 abstracts were screened and 15 studies were identified reporting on 116 procedures. The surgical methods of stone management employed were stone extraction with basket only (n = 55, 47%), laser fragmentation (n = 27, 23%; holmium, n = 20, pulse dye, n = 7), impact lithotripsy (n = 21, 18%), ureteroscopic lithotripsy (n = 6, 5%) and a combination of methods (n = 6, 5%). A post-operative stent was inserted in 64 of 116 procedures (55%). Complete stone clearance was seen in 100 of the 116 procedures (86%). There were 2 major complications (1 ureteral perforation and 1 case of premature uterine contraction) and 7 minor complications (5 urinary tract infections and 2 cases of post-operative pain).

Conclusions: this review suggests that stone clearance using ureteroscopy is a relatively safe option in pregnancy with a high success rate.

Female, Humans, Pregnancy, Pregnancy Complications, Treatment Outcome, Ureteral Calculi, Ureteroscopy, Journal Article, Review
380-386
Laing, K.A.
ab7c4a78-5ae5-4ebf-92c1-6bbcdc218115
Lam, T.B.L.
cca7b9bf-dfd5-497a-9b1f-226b5f4cbbbb
McClinton, S.
b7bd4cdb-db5e-430f-9f06-f1a680bf5e77
Cohen, N.P.
7527ee7a-e4da-4f11-8e60-8834c985612c
Traxer, O.
2fa78817-b6f8-4f00-b389-c9c9ddbd01f3
Somani, B.K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Laing, K.A.
ab7c4a78-5ae5-4ebf-92c1-6bbcdc218115
Lam, T.B.L.
cca7b9bf-dfd5-497a-9b1f-226b5f4cbbbb
McClinton, S.
b7bd4cdb-db5e-430f-9f06-f1a680bf5e77
Cohen, N.P.
7527ee7a-e4da-4f11-8e60-8834c985612c
Traxer, O.
2fa78817-b6f8-4f00-b389-c9c9ddbd01f3
Somani, B.K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9

Laing, K.A., Lam, T.B.L., McClinton, S., Cohen, N.P., Traxer, O. and Somani, B.K. (2012) Outcomes of ureteroscopy for stone disease in pregnancy: results from a systematic review of the literature. Urologia Internationalis, 89 (4), 380-386. (doi:10.1159/000343732).

Record type: Review

Abstract

Introduction: our aim was to evaluate the clinical efficacy and safety of ureteroscopy as a primary treatment for pregnant women with symptomatic ureteric stones who have failed conservative management.

Materials and methods: a systematic review of the literature from January 1990 to June 2011 was performed, including all English language articles. Outcome measures were clinical efficacy, in terms of stone clearance and need for additional procedures, and safety in terms of complications.

Results: a total of 239 abstracts were screened and 15 studies were identified reporting on 116 procedures. The surgical methods of stone management employed were stone extraction with basket only (n = 55, 47%), laser fragmentation (n = 27, 23%; holmium, n = 20, pulse dye, n = 7), impact lithotripsy (n = 21, 18%), ureteroscopic lithotripsy (n = 6, 5%) and a combination of methods (n = 6, 5%). A post-operative stent was inserted in 64 of 116 procedures (55%). Complete stone clearance was seen in 100 of the 116 procedures (86%). There were 2 major complications (1 ureteral perforation and 1 case of premature uterine contraction) and 7 minor complications (5 urinary tract infections and 2 cases of post-operative pain).

Conclusions: this review suggests that stone clearance using ureteroscopy is a relatively safe option in pregnancy with a high success rate.

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More information

e-pub ahead of print date: 10 November 2012
Published date: 2012
Keywords: Female, Humans, Pregnancy, Pregnancy Complications, Treatment Outcome, Ureteral Calculi, Ureteroscopy, Journal Article, Review

Identifiers

Local EPrints ID: 419106
URI: http://eprints.soton.ac.uk/id/eprint/419106
PURE UUID: 46d95d33-114f-4916-9725-b3d528e105d3

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Date deposited: 05 Apr 2018 16:30
Last modified: 10 Feb 2020 17:32

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