Ureteroscopy and Laser Lithotripsy for Treatment of Ureteral Stones in Pregnants: Single Center Experience
Öz
Objective: To report our ureteroscopic laser lithotripsy experiences in the treatment of symptomatic ureter stones in pregnants which do not respond to conservative treatment
Methods: A total of 6 pregnants aged between 22-33 years in second or third trimester were studied. Holmium-YAG laser lithotripsy was performed with 6.5 F semirigid uretroscope.
Results: The diagnosis of ureter stone was made with abdominal ultrasonography in 5 patients and with magnetic resonance in one patient. Adequate stone fragmentation was performed in 2 mid-ureter and 4 distal-ureter stones. J stent was applied in one patient after the fragmentation process. The mean operation time was 24.8 ± 10.0 minutes after the entry of bladder with ureteroscope under spinal anesthesia. No urologic, anesthetic or obstetric complication was seen and all patients gave healthy birth at term.
Conclusion: Fine calibrated ureteroscopes for the treatment of ureter stones in pregnants are fast and effective treatment modalities which decrease the operation time and remove difficulties in entering the ureter.
Key words: Pregnancy, urolithiasis, ureteroscopy, lithotripsy, Holmium-YAG laser
Anahtar Kelimeler
Kaynakça
- Korkes F, Rauen EC, Heilberg IP. Urolithiasis and pregnancy.
- Jornal Brasileiro de Nefrologia 2014;36:389-395.
- Bozkurt Y, Soylemez H, Atar M, et al. Effectiveness and safety of ureteroscopy in pregnant women: a comparative study. Urolithiasis 2013;41:37-42.
- Fregonesi A, Dias FG, Saade RD, et al. Challenges on percutaneous
- nephrolithotomy in pregnancy: Supine position approach through ultrasound guidance. Urology Annals 2013;5:197-199.
- Hanson B, Tabbarah R. Preterm delivery in the setting of left calyceal rupture. Case Reports Obstetrics Gynecol 2015;2015:906073.
- Celik O, Turk H, Cakmak O, et al. Current approach for urinary
- system stone disease in pregnant women. Archivio Italiano di Urologia, Andrologia 2016;87:280-285.
Ayrıntılar
Birincil Dil
Türkçe
Konular
-
Bölüm
-
Yazarlar
Mustafa İstanbulluoğlu
Bu kişi benim
Hüsnü Alptekin2
Bu kişi benim
Hatice Işık2
Bu kişi benim
İbrahim Buldu
Bu kişi benim
Yayımlanma Tarihi
1 Mart 2016
Gönderilme Tarihi
29 Mart 2016
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 2016 Cilt: 43 Sayı: 1