MANAGEMENT OF RENAL COLIC DURING PREGNANCY
Abstract
The diagnosis of urological diseases in pregnancy involves particularities requiring both the knowledge of the pathophysiological mechanisms of the respective diseases and a experience of the urologist and gynecologist in assessing the physiological conditions of pregnancy. Aim: To identify the specific features of renal colic in pregnant women, in the context in which the urological assessment of them is not mandatory. Material and methods: The study included a group of 86 pregnant women diagnosed with urological diseases and renal colic as their main symptom. Results: There are two major difficulties faced by urologists in these cases: firstly, the impossibility of conducting X-ray imaging investigations to determine the location and type of the obstruction and, on secondly, the ureteral catheterization and insertion of the ureteral catheter in the absence of adequate fluoroscopic control. Conclusions: The urologist's experience is decisive in establishing intraoperatively if the introduction of the ureteric probe is possible, the risk of a ureteral perforation with severe consequences requiring a percutaneous nephrostomy to be performed under ultrasound guidance.
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