Ureteral stent insertion in pregnants with intractable flank pain: A clinical experience

Abstract

INTRODUCTION[|]To evaluate the efficacy of JJ stent placement in pregnants with intractable flank pain [¤]METHODS[|]Pregnants with flank pain who referred to our clinic between January 2011 and March 2016 were retrospectively reviewed. Patients who did not respond to first conservative treatments and hospitalized were enrolled into the study. Demographic datas, clinical and laboratory findings, surgical interventions such as JJ stenting or percutaneus nephrostomy as well as the complications were all recorded and evaluated.[¤]RESULTS[|]Fourty-one pregnant women were included in the study. No surgical intervention was required in 7(17%) after second conservative management. 34 patients with intractable flank pain were required JJ stenting/nephrostomy. The mean duration of hospitalization was 2.9 ∓ 2.7 days. Complications such as migration (n = 3), lower urinary tract symptoms (n = 1) and hematuria (n = 2) were observed in stent applied cases. According to the postpartum imaging (abdominal CT scan) 5 of 32 patients required any additional stone surgery.[¤]DISCUSSION AND CONCLUSION[|]JJ stent placement in an emergency based manner was found to be effective and safe with low complication rates in the management of pregnants with intractable flank pain. [¤]

Keywords

• pregnancy
• flank pain
• hydronephrosis
• jj stent