Diagnosis and treatment of pregnancy complicated with urolithiasis

doi:10.3877/cma.j.issn.2095-3259.2024.03.003

Abstract

Abstract:

Urolithiasis is the most common cause of urinary system-related abdominal pain during pregnancy. The maternal physiological changes during pregnancy increase the difficulty of the diagnosis of urolithiasis, and the choice of treatment should take into account the safety of the mother and the fetus. Ultrasound is the first choice for the diagnosis. Conservative treatment is the first line of treatment, including spontaneous passage and pain management. Obstructive stones with infection require immediate drainage. A ureteroscopy may be performed if no infection is present and conservative treatment has failed. Shockwave lithotripsy and percutaneous nephrolithotomy are contraindicated during pregnancy.

Key words: Pregnancy, Urolithiasis, Diagnosis, Therapeutics

Ying Zhao, Yu Xiong. Diagnosis and treatment of pregnancy complicated with urolithiasis[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2024, 13(03): 141-145.

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