URETERIC STONES DURING PREGNANCY with safe material and fetal outcome.
She presented her 10 years experience with such cases at international Urogynecology conference held at IRELAND in 2013
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Management of ureteric stones during pregnancy
1. DR. K. LALITHA
M.D., M.Ch.(UROLOGY)
UROLOGIST & GYNECOLOGIST
MBBS – KMC, WARANGAL-1988
MD(OBG)-PGIMER(CHANDIGARH)-1991
MCh(UROLOGY)-OMC(HYD)-1997
AREA OF INTEREST-FEMALE UROLOGY
UROGYNECOLOGY
3. INTRODUCTION
•
RENAL COLIC IS THE MOST COMMON NON-
OBSTETRIC INDICATION FOR HOSPITALIZATION
•
UROLITHIASIS INCREASES THE RISK OF
PRETERM LABOUR FROM 3% TO 7%
•
UROLITHIASIS AFFECTS 1 IN 200 TO 1IN 1500
5. AIM
•
TO STUDY THE SAFETY AND FEASIBILITY OF
URETEROSCOPIC LITHOTRIPSY DURING
PREGNANCY
•
TO DISCUSS THE DIAGNOSTIC & THERAPEUTIC
CHALLENGES
6. MATERIAL & METHODS
A RETROSPECTIVE STUDY OF 220 PREGNANT
WOMEN WITH UROLITHIASIS TREATED BY US
BETWEEN FEB 2002 TO FEB 2012
40 WOMEN REQUIRED ACTIVE
ENDOUROLOGICAL INTERVENTION.
13. RESULTS -TYPE OF INTERVENTION
•
URETEROSCOPIC STONE REMOVAL FOR
DISTAL URETERIC STONES - 18
•
DOUBLE J STENTING FOR WOMEN WITH
PROXIMAL URETERIC STONES - 22
14. RESULTS
•
18 - DISTAL URETERIC STONES
•
3 STONES > 1 CM
•
1 CASE OF TWIN PREGNANCY
•
1 - BICORNUATE UTERUS
16. DISCUSSION
•
URETERIC STONE DURING PREGNANCY MAY
SOMETIMES REQUIRE UROLOGICAL
INTERVENTION
•
DIAGNOSTIC DILEMMA DUE TO
PHYSIOLOGICAL HYDRONEPHROSIS DUE TO
INABILITY TO USE X-RAYS
20. CONCLUSION
•
URETEROSCOPIC LITHOTRIPSY DURING
PREGNANCY IS FEASIBLE AND SAFE IN A
SELECT GROUP OF PATIENTS IN A WELL
EQUIPPED ENDOUROLOGY UNIT
•
A TEAM OF EXPERTS IN UROLOGY,
OBSTETRICS,RADIOLOGY &
ANAESTHESIOLOGY IS ESSENTIAL FOR
OPTIMAL OUTCOME.