MP14-20 COMPARISON OF THE EFFECT OF ACTIVE SURGICAL TREATMENT OF UROLITHIASIS IN PREGNANT PATIENTS COMPARED WITH SERIAL URETERAL STENTING ON THE PROBABILITY OF NATURAL DELIVERY

Abstract

You have accessJournal of UrologyCME1 May 2022MP14-20 COMPARISON OF THE EFFECT OF ACTIVE SURGICAL TREATMENT OF UROLITHIASIS IN PREGNANT PATIENTS COMPARED WITH SERIAL URETERAL STENTING ON THE PROBABILITY OF NATURAL DELIVERY Pavel Nizin, Sergey Kotov, and Perov Roman Pavel NizinPavel Nizin More articles by this author , Sergey KotovSergey Kotov More articles by this author , and Perov RomanPerov Roman More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002543.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The primary endpoint is to compare the frequency of natural childbirth in the groups undergoing active surgical treatment of urolithiasis and the group of serial ureteral stenting. METHODS: Criteria for inclusion of diagnosed urolithiasis at any stage of pregnancy in patients without abnormalities of the urinary system. Exclusion criteria, independent departure of the stone. The active treatment group underwent endoscopic surgery to get rid of the stone during gestation. The serial stenting group underwent drainage replacement every 4 weeks during the entire period of pregnancy, followed by operations to get rid of the stone after delivery. RESULTS: Active treatment group n=57 average age 27.2 years (±5.2). The average gestation period was 21.1 weeks (±6.8). Distribution by trimester: I-3.6%, II-73.8%, III–22.8%. The average rate of leukocytosis at admission was 10.9*10^9/l (±4.8*10^9/l). Serial stenting group n=56 average age 26.5 years (±6.1). The average gestation period was 20.2 weeks (±7.2). Distribution by trimester: I-3 (5.4%), II-43 (76.8%), III–10 (17.8%). The average rate of leukocytosis at admission was 11.6*10^9/l (±5.1*10^9/l). 7 (12%) patients from the first group were diagnosed with acute obstructive pyelonephritis. These patients were fitted with an internal ureteral stent. In 5 patients, there was an independent discharge of the concretion. These patients were excluded from observation. In the second group, 4 patients were diagnosed with acute obstructive pyelonephritis. An internal ureteral stent was installed in these patients. In 3 patients, against the background of a standing stent, the stone moved away on its own. These patients were excluded from observation. In the first group, the number of delivery was 35, caesarean section-17. In the second group, delivery-23, CS-30.The probability of delivery was estimated using χ2 is 6.070. The critical value of χ2 at the significance level p=0.05 is 3.841. Complications in the first group: grade I-5 (9%), II–7 (13%). Complications in the second group I degree 9 (17%), II – 8 (15%), IIIa - 9 (17%). Comparison of the development of complications was carried out. The value of the criterion χ2 is 12.724. The critical value of χ2 at the significance level p=0.01 is 11.345. CONCLUSIONS: Active disposal of the stone during pregnancy is safe and reduces the likelihood of delivery by cesarean section and the likelihood of developing stent-associated symptoms. Source of Funding: The study was not funded © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e240 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Pavel Nizin More articles by this author Sergey Kotov More articles by this author Perov Roman More articles by this author Expand All Advertisement PDF DownloadLoading ...