Safety And Efficacy of Ureterorenoscopy in The Management of Ureteric Stone During Pregnancy

Abstract

Ureterorenoscopy is a procedure to examine the urinary tract using an ureteroscope. Objective: To identify the effectiveness of ureterorenoscopy for treatment of ureteric stones in pregnant women. Methods: A total of 33 pregnant women visited the Obstetric and Urology departments of hospital were included in the study. They had complaint of renal colic pain. Their demographic features, age, trimester and clinical features were noted during initial profile records. The statistical analysis using SPSS Version-21 was performed. Results: In this research 33 subjects presented with renal colic pain belonging to a gestation period of 8 weeks to 33 weeks. Ureterorenoscopy was performed on all patients (right side stone in 18, 13 with the left side, and 2 with bilateral). Hematuria was observed in 6 patients, nausea vomiting in 18 patients, the two were presented with acute urine retention, and one patient presented with oliguria due to bilateral ureteric obstruction. Stone was broken, and clearance was observed in 28 (85%) patients. In other 5 (15%) patients, stone was pushed back, and obstruction was relieved. Conclusion: Ureterorenoscopy is a definitive first-line Treatment. It is safe and effective in pregnancy with calculus obstructive uropathy.