Evaluation of Pregnancy Hydronephrosis? Does Ureteral J Stent Effect Preterm Birth?

Abstract

Objective: This study aimed to evaluate the treatment modalities in pregnant women with side pain and hydronephrosis and to examine the effect of treatment on preterm labor. Material and Methods: There cords of pregnant women with flank pain who presented between April 2014 and January 2020 were retrospectively reviewed. The evaluation was made of 54 patients treated in the Urology Clinic for hydronephrosis and side pain treated. Clinical, radiological, and laboratory findings, surgical interventions, and any complications were all recorded and evaluated. Classified the patients undergoing surgical procedures as group 1, and those followed by conservative treatment as group 2. Length of hospital stay, hospital arrival weeks, and birth weeks of the groups were compared. Results: 54 pregnant women included in the study, 22 patients (40.7%) required surgical intervention (Group1), and 32 patients (59.2%) applied conservative management (Group2). Postoperatively, lower urinary tract infection was observed in 1(4.5%) patient, hematuria without transfusion was required in 3(13.6%) patients. Hospital arrival weeks (p:0.43) and birth weeks (p:0.09) of the groups were compared and no significant statistically. But the length of hospital stay (p<0.05) was significantly different. No complications were observed until delivery due to ureteral stent after discharge, and DJ stents were removed from birth. Conclusion: Although it is thought that surgical intervention in pregnancy hydronephrosis will harm preterm birth and pregnancy, there was no major complication of intervention to mother and infant in the study. If neglected, many complications may occur including the death of the mother and the infant.

Keywords

• hydronephrosis
• pregnancy
• ureteralstent