Efficacy and Safety of Laser Lithotripsy in Pregnancy
Journal of Lasers in Medical Sciences,
Vol. 8 No. 2 (2017),
8 April 2017
,
Page 84-87
Abstract
Introduction: The aim of our study was to assess the efficacy and safety of laser lithotripsy in pregnant patients.
Methods: In this retrospective study, we reviewed the 15 pregnant women who have been treated for ureteral stones with semi-rigid ureteroscope and holmium laser at our center between Januarys 2007and April 2015.
Results: The mean age of patients and mean gestational age was 29.3 years old 27.3 weeks respectively. Mean size of stones was 7.84 mm. Twelve patients had renal colic, and hematuria was found in 3 cases. Irritative urinary symptoms such as frequency and urgency detected in 6 ones and 2 patients had fever. The stone of all patients were fragmented by using holmium laser lithotripter. In 5 patients stone residual fragments were removed by grasper while other 10 patients were left to pass fragments spontaneously. No intraoperative and postoperative urological or obstetric complication was seen.
Conclusion: Laser lithotripsy is safe and efficacious in pregnant patients who have ureteral stone that does not respond to conservative management.
- Complication
- Laser lithotripsy
- Pregnancy
- Ureter stone
- Urolithiasis.
How to Cite
References
Rodriguez PN, Klein AS. Management of urolithiasis during pregnancy. Surg Gynecol Obstet. 1988;166:103–106.
Negru I, Pricop C, Costachescu G. Renal colic in pregnancy (Romanian). Rev Med Chir Soc Med Nat Iasi. 2010; 114(2):439-444.
Swanson SK, Heilman RL, Eversman WG. Urinary tract stones in pregnancy. Surg Clin N Am. 1995;75:123-142.
Parulkar BG, Hopkins TB, Wollin MR, Howard PJ Jr, Lal A. Renal colic during pregnancy: a case for conservative treatment. J Urol. 1998;159(2):365-368.
Semins MJ, Trock BJ, Matlaga BR. The safety of ureteroscopy during pregnancy: a systematic review and meta-analysis. J Urol. 2009;181(1):139-143. doi:10.1016/j.juro.2008.09.029.
Scarpa RM, De Lisa A, Usai E. Diagnosis and treatment of ureteral calculi during pregnancy with rigid ureteroscopes. J Urol. 1996;155:875-877.
Sofer M, Watterson JD, Wollin TA, Nott L, Razvi H, Denstedt JD. Holmium:YAG laser lithotripsy for upper urinary tract calculi in 598 patients. J Urol. 2002;167:31-34.
Boridy IC, Maklad N, Sandler CM. Suspected urolithiasis in pregnant women: imaging algorithm and literature review. AJR Am J Roentgenol. 1996;167:869-875.
Kroovand L. Stones in pregnancy and in children. J Urol. 1992;148(3 Pt 2):1076-1078.
Biyani CS, Joyce AD. Urolithiasis in pregnancy II: management. BJU Int. 2002;89:819–823.
Ohmori K, Matsuda T, Horii Y, Yoshida O. Effects of shock waves on the mouse fetus. J Urol. 1994;151(1):255-258.
Ulvik NM, Bakke A, Høisaeter PA. Ureteroscopy in pregnancy. J Urol. 1995;154(5):1660-3.
Lifshitz DA, Lingeman JE. Ureteroscopy as a first-line intervention for ureteral calculi in pregnancy. J Endourol. 2002;16(1):19-22.
Watterson JD, Girvan AR, Beiko DT, et al. Ureteroscopy and holmium:YAG laser lithotripsy: an emerging definitive management strategy for symptomatic ureteral calculi in pregnancy. Urology. 2002;60:383-387.
Lemos GC, El Hayek OR, Apezzato M. Rigid ureteroscopy for diagnosis and treatment of ureteral calculi during pregnancy. Int Braz J Urol. 2002;28(4):311-315.
Rana AM, Aquil S, Khawaja AM. Semirigid ureteroscopy and pneumatic lithotripsy as deWnitive management of obstructive ureteral calculi during pregnancy. Urology. 2009;73:964–7.
Kavoussi LR, Albala DM, Basler JW, Apte S, Clayman RV. Percutaneous management of urolithiasis during
pregnancy. J Urol. 1992;148:1069-1071.
Denstedt JD, Razvi H. Management of urinary calculi during pregnancy. J Urol. 1992; 148:1072-1074.
Bozkurt Y, Penbegul N, Soylemez H, et al. The efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patients. Urol Res. 2012;40(5):531-5. doi: 10.1007/s00240-011-0454-y.
Geavlete P, Mulåescu R, Georgescu D. Flexible ureteroscopic approach in upper urinary tract pathology. Chirurgia (Bucur). 2006;101(5):497-503.
Teichman JM, Vassar GJ, Bishoff JT, Bellman GC. Holmium:YAG lithotripsy yields smaller fragments than lithoclast, pulsed dye laser or electrohydraulic lithotripsy. J Urol. 1998;159:17-23
Laing KA, Lam TB, McClinton S, Cohen NP, Traxer O, Somani BK. Outcomes of ureteroscopy for stone disease in pregnancy: results from a systematic review of the literature. Urol Int. 2012;89:380-386.
- Abstract Viewed: 939 times
- PDF Downloaded: 496 times