Obstetric complications of ureteroscopy during pregnancy

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

Research output: Contribution to journalArticle

31 Citations (Scopus)

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

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Ureteroscopy
Obstetrics
Pregnancy
Premature Obstetric Labor
Postoperative Period
Pregnant Women
Fetus
Mothers
Incidence

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Johnson, E. B., Krambeck, A. E., White, W., Hyams, E., Beddies, J., Marien, T., ... 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

Obstetric complications of ureteroscopy during pregnancy. / Johnson, Elizabeth B.; Krambeck, Amy E.; White, Wesley; Hyams, Elias; Beddies, John; Marien, Tracy; Shah, Ojas; Matlaga, Brian; Pais, Vernon M.

In: Journal of Urology, Vol. 188, No. 1, 01.07.2012, p. 151-154.

Research output: Contribution to journalArticle

Johnson, EB, Krambeck, AE, White, W, Hyams, E, Beddies, J, Marien, T, Shah, O, Matlaga, B & Pais, VM 2012, 'Obstetric complications of ureteroscopy during pregnancy', Journal of Urology, vol. 188, no. 1, pp. 151-154. https://doi.org/10.1016/j.juro.2012.02.2566
Johnson EB, Krambeck AE, White W, Hyams E, Beddies J, Marien T et al. Obstetric complications of ureteroscopy during pregnancy. Journal of Urology. 2012 Jul 1;188(1):151-154. https://doi.org/10.1016/j.juro.2012.02.2566
Johnson, Elizabeth B. ; Krambeck, Amy E. ; White, Wesley ; Hyams, Elias ; Beddies, John ; Marien, Tracy ; Shah, Ojas ; Matlaga, Brian ; Pais, Vernon M. / Obstetric complications of ureteroscopy during pregnancy. In: Journal of Urology. 2012 ; Vol. 188, No. 1. pp. 151-154.
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