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Journals / Turkish Journal of Medical Sciences / 2018 / Cilt: 48 - Sayı: 2

Comparison of percutaneous nephrostomy and double J stent in symptomatic pregnancy hydronephrosis treatment

Fuat KIZILAY
Bülent SEMERCİ
Adnan ŞİMŞİR
Pages
405–411
Publication Date
2022-11-05
DOI
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⚡ TL;DR(Too Long; Didn't Read)

The time to tertiary intervention was longer in patients with PCN than in those withDJS (P = 0.0048).Conclusion: PCN may be preferred to DJS in symptomatic pregnancy hydronephrosis because it requires fewer re-interventions afterlonger times.

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Objective & Hypothesis:Background/aim: We aimed to compare the success rate of percutaneous nephrostomy (PCN) and double J stenting (DJS) in thetreatment of symptomatic pregnancy hydronephrosis.Materials and methods: Diagnosis and grading of hydronephrosis were performed by urinary ultrasound (USG) and Doppler modewas used for evaluation of renal arterial resistivity index (RI).
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Key Findings & Data:Patients were divided into two groups according to the method used forthe treatment of hydronephrosis: group A (PCN, n = 38) and group B (DJS, n = 46).
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Conclusion & Impact:The time to tertiary intervention was longer in patients with PCN than in those withDJS (P = 0.0048).Conclusion: PCN may be preferred to DJS in symptomatic pregnancy hydronephrosis because it requires fewer re-interventions afterlonger times.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: We aimed to compare the success rate of percutaneous nephrostomy (PCN) and double J stenting (DJS) in thetreatment of symptomatic pregnancy hydronephrosis.Materials and methods: Diagnosis and grading of hydronephrosis were performed by urinary ultrasound (USG) and Doppler modewas used for evaluation of renal arterial resistivity index (RI). Patients were divided into two groups according to the method used forthe treatment of hydronephrosis: group A (PCN, n = 38) and group B (DJS, n = 46). A P value < 0.05 was considered significant.Results: The number of patients requiring second intervention was higher in group B (P = 0.0018) and time to secondary interventionwas significantly earlier in group B also (P = 0.0025). The number of tertiary intervention was again higher in group B (5/16 vs. 1/6)and the need for tertiary intervention was higher in patients who underwent DJS implantation as a secondary intervention than thosewho underwent PCN (5/11 vs. 1/11, P = 0.0012). The time to tertiary intervention was longer in patients with PCN than in those withDJS (P = 0.0048).Conclusion: PCN may be preferred to DJS in symptomatic pregnancy hydronephrosis because it requires fewer re-interventions afterlonger times.

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Cite This Article

KIZILAY, F., SEMERCİ, B., ŞİMŞİR, A. (2022). Comparison of percutaneous nephrostomy and double J stent in symptomatic pregnancy hydronephrosis treatment. Turkish Journal of Medical Sciences, Cilt: 48 - Sayı: 2, 405–411. https://ajindex.com/articles/610250

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References (13)

  1. Swanson SK, Heilman RL, Eversman WG. Urinary tract stones in pregnancy. Surg Clin North Am 1995; 75: 123-142.
  2. Biyani C, Joyce A. Urolithiasis in pregnancy. II: management. BJU Int 2002; 89: 819-823. Di Salvo DN. Sonographic imaging of maternal complications of pregnancy. J Ultrasound Med 2003; 22: 69-89.
  3. Irving SO, Burgess NA. Managing severe loin pain in pregnancy. BJOG 2002; 109: 1025-1029. Kavoussi. Percutaneous management of urolithiasis during pregnancy - management of urinary calculi during pregnancy - stones in pregnancy and children - reply. J Urol 1993; 150: 199-199.
  4. Sadan O, Berar M, Sagiv R, Dreval D, Gewurtz G, Korczak D, Zakut H, Bernstein D. Ureteric stent in severe hydronephrosis of pregnancy. Eur J Obstet Gynecol Reprod Biol 1994; 56: 79- 81. John H, Vondruska K, Sulser T, Lauper U, Huch A, Hauri D. Ureteral stent placement in hydronephrosis during pregnancy. Urologe A 1999; 38: 486-489.
  5. Goldfarb RA, Neerhut GJ, Lederer E. Management of acute hydronephrosis of pregnancy by ureteral stenting: risk of stone formation. J Urol 1989; 141: 921-922. Waltzer WC. The urinary tract in pregnancy. J Urol 1981; 125: 271-276.
  6. Fainaru O, Almog B, Gamzu R, Lessing JB, Kupferminc M. The management of symptomatic hydronephrosis in pregnancy. BJOG 2002; 109: 1385-1387.
  7. Choi CI, Yu YD, Park DS. Ureteral stent insertion in the management of renal colic during pregnancy. Chonnam Med J 2016; 52: 123-127.
  8. Ramsey S, Robertson A, Ablett MJ, Meddings RN, Hollins GW, Little B. Evidence-based drainage of infected hydronephrosis secondary to ureteric calculi. J Endourol 2010; 24: 185-189.
  9. Lynch MF, Anson KM, Patel U. Percutaneous nephrostomy and ureteric stent insertion for acute renal deobstruction: consensus based guidance. Br J Med Surg Urol 2008; 1: 120-125.
  10. Hill CC, Pickinpaugh J. Physiologic changes in pregnancy. Surg Clin North Am 2008; 88: 391-401, vii. Ringel A, Richter S, Shalev M, Nissenkorn I. Late complications of ureteral stents. Eur Urol 2000; 38: 41-44.
  11. Zheng W, Denstedt JD. Intracorporeal lithotripsy: update on technology. Urol Clin North Am 2000; 27: 301-313.
  12. Tsai YL, Seow KM, Yieh CH, Chong KM, Hwang JL, Lin YH, Huang LW. Comparative study of conservative and surgical management for symptomatic moderate and severe hydronephrosis in pregnancy: a prospective randomized study. Acta Obstet Gynecol Scand 2007; 86: 1047-1050.
  13. Goldfarb RA, Neerhut GJ, Lederer E. Management of acute hydronephrosis of pregnancy by ureteral stenting: risk of stone formation. J