EVALUATION OF THE RATIONALE OF NEFRECTOMY IN PREGNANT WOMEN WITH PURULENT GESTATIONAL PYELONEPHRITIS

Abstract

During the last 2 years, an increase in cases of purulent gestational pyelonephritis with severe course and 20 such cases have been revealed and reported. The average age of the patients was 25 years. The first trimester of pregnancy accounted for 10% of cases, the second - 40%; on the third - 50%. In 30% of women there were bilateral defects of kidneys. All patients were operated on. On the first day 12 of them underwent nephrectomy for carbunculosis; 8 women underwent pre-drainage of the urinary tract, which did not improve their condition, and also resulted in nephrectomy. Two patients had to terminate the pregnancy by Caesarean section at a later date, the children were alive; one of these women performed extirpation of the uterus with appendages, the other was subject to supravaginal amputation of the uterus.