AUA 2011 - Obstetric complications of ureteroscopy during pregnancy - Session Highlights

WASHINGTON, DC USA ( - With miniaturization of the modern ureterorenoscopes and more efficient and effective intracorporeal lithotripsy this treatment modality has gained acceptance for use in pregnant patients with obstructing, symptomatic urolithiasis.




Researchers from three different medical centers retrospectively reviewed their experience with all pregnant patients undergoing ureteroscopy for urolithiasis. Of the 19 patients reviewed all had their ureteral stones successfully removed and there was no fetal loss. However, 2 patients (10.5%), who had regional anesthesia, experienced pre-term labor 24 hours postoperatively. One was satisfactorily managed with tocolytic therapy and bed rest, while the other patient required an urgent C-section.

This information can aid urologists in counseling their pregnant patients who present with obstructing urolithiasis.

Presented by Elizabeth Johnson, et al. at the American Urological Association (AUA) Annual Meeting - May 14 - 19, 2011 - Walter E. Washington Convention Center, Washington, DC USA

Reported for UroToday by Elspeth M. McDougall, MD, FRCSC, Professor of Urology/Director, Surgical Education Institute at the University of California, Irvine.


The opinions expressed in this article are those of the Contributing Editor and do not necessarily reflect the viewpoints of the American Urological Association.



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