Obstetric complications of ureteroscopy during pregnancy

Elizabeth B. Johnson, Amy E. Krambeck, Wesley M. White, Elias Hyams, John Beddies, Tracy Marien, Ojas Shah, Brian Matlaga, Vernon M. Pais

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

Purpose: During pregnancy a ureteral stone and its management may pose risks for the mother and fetus. Definitive ureteroscopic management of an obstructing stone during pregnancy has been increasingly used without a reported increased incidence of urological complications. However, the rate of obstetric complications of ureteroscopy during pregnancy remains undefined. Materials and Methods: Charts of pregnant women who had undergone ureteroscopy at 5 tertiary centers were reviewed. Patient and procedure characteristics were collected. Records were evaluated for the occurrence of obstetric complications in the postoperative period. Results: A total of 46 procedures were performed in 45 patients at 5 institutions. There were 2 obstetric complications (4.3%), including 1 preterm labor managed conservatively and 1 preterm labor resulting in preterm delivery. There was no fetal loss. No statistically significant characteristics were identified differentiating those patients having obstetric complications. Conclusions: Ureteroscopy performed during pregnancy has been previously reported to be urologically safe and effective for addressing ureteral stones. In our multi-institutional series a 4% rate of obstetric complications was observed. Based on this risk a multidisciplinary approach is prudent for the pregnant patient undergoing ureteroscopy.

Original languageEnglish (US)
Pages (from-to)151-154
Number of pages4
JournalJournal of Urology
Volume188
Issue number1
DOIs
StatePublished - Jul 1 2012
Externally publishedYes

Keywords

  • nephrolithiasis
  • obstetric labor complications
  • pregnancy
  • ureteroscopy

ASJC Scopus subject areas

  • Urology

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  • Cite this

    Johnson, E. B., Krambeck, A. E., White, W. M., Hyams, E., Beddies, J., Marien, T., Shah, O., Matlaga, B., & Pais, V. M. (2012). Obstetric complications of ureteroscopy during pregnancy. Journal of Urology, 188(1), 151-154. https://doi.org/10.1016/j.juro.2012.02.2566