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Volume 4 No. 1, January 2009 |
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Use of Doppler
Sonography and Rigid Ureteroscope for the Management of Symptomatic
Ureteric Stones during Pregnancy Urology department, Tanta University(1) & Radiology Department El-Minia University,(2) Egypt
Aim: To evaluate the use of Doppler sonography and rigid
ureteroscope for the management of symptomatic ureteric stones
during pregnancy. Patients and methods: Fifteen pregnant female
patients with persistent renal pain were enrolled in this study.
Conventional ultrasounds followed by Doppler scanning in both
kidneys were performed for every patient. Results: The mean age of
gestation at presentation was 25.5 weeks. Stones were found in the
right side in 11 patients (73.3 %), in the left side in 3 patients
(20 %) while no stone was found in the remaining one patient (6.7%).
There was a significant elevation in the mean resistive index in the
all 15 obstructed kidneys in relation to the contralateral normal
kidneys. Ureteroscopy was done for all patients with removal of the
stones and fixation of double-J stent. All patients improved after
the procedure and completed pregnancy safely up to full term except
premature labor in one patient. Conclusion: Doppler sonography and
ureteroscopy are efficient in diagnosis and treatment of symptomatic
ureteric stones during pregnancy. |
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