[Symptomatic hydronephrosis during pregnancy].

Abstract

OBJECTIVES:

Hydronephrosis is common during pregnancy, affecting 90% of pregnant women. It is usually asymptomotic, but a small percentage of patients show clinical symptoms requiring treatment. We want to report our experience in the diagnosis and treatment of symptomatic obstructive uropathy in pregnant women.

METHODS:

We retrospectively evaluate the results obtained in 162 pregnant women suffering symptomatic hydronephrosis who received care at our department over the last 12 years.

RESULTS:

Conservative treatment was effective in most patients, 39 patients required more aggressive therapy. Thirty-five patients underwent insertion of a doubleJ catheter, 2 patients percutaneous nephrostomy, and another 2 ureteroscopy and extraction of ureteral lithiasis.

CONCLUSIONS:

The most frequent etiology of symptomatic hydronephrosis during pregnancy is external compression by the gravid uterus, followed by ureteral lithiasis. We consider conservative treatment as the treatment of choice, leaving ureteral double J cotheter insertion or percutaneous nephrostomy for the refractory cases. Ureteroscopy is a new diagnostic and therapeutic option when other less aggressive meosures fail.

• Authors: Pedro Navalón Verdejo, Francisco Sánchez Ballester, Yoni Pallas Costa, José Antonio Cánovas Ivorra, Felipe Ordoño Domínguez, Joaquín Juan Escudero, Luis De la Torre Abril, Macarena Ramos de Campos
• Journal: Archivos espanoles de urologia (Arch Esp Urol) Vol. 58 Issue 10 Pg. 977-82 (Dec 2005) ISSN: 0004-0614 [Print] Spain
• Vernacular Title: Acerca de la hidronefrosis sintomática en la gestante.
• PMID: 16482848 (Publication Type: English Abstract, Journal Article)

Topics

• Female
• Humans
• Hydronephrosis (therapy)
• Pregnancy
• Pregnancy Complications (therapy)
• Retrospective Studies