AI Article Synopsis
- This study explores the impact of timing for ureteral stent placement on outcomes for pregnant women suffering from renal colic, highlighting possible risks like pyelonephritis and adverse pregnancy outcomes.
- The research involved 100 pregnant patients and found that 32% experienced acute pyelonephritis, which was linked to longer hospital stays and increased complications like re-admission and premature birth.
- Results suggest that whether surgery is done early or delayed (within 48 hours) is generally safe, but early intervention might lead to better outcomes, as timing from the onset of pain to admission was significant for developing complications.
Article Abstract
Background: Pregnancy with renal colic may cause pyelonephritis, decreased renal function, systemic infection and even shock in pregnant women, and cause premature birth and other adverse pregnancy outcomes. When surgery is necessary, the relationship between timing of the operation and the outcome of the mother and child are not known.
Aim: To investigate the association between time to ureteral stent placement and clinical outcomes of patients with renal colic during pregnancy.
Methods: In this retrospective study, pregnant women with renal colic who underwent surgery were studied. Maternal preoperative acute pyelonephritis (PANP), pregnancy outcome, and length of hospital stay (LOS) were compared between the two groups.
Results: 100 patients were included in the analysis, median age was 30 years. Median time to ureteral stent placement was 48 h (interquartile range, 25-96 h), and 32 patients (32%) were diagnosed with PANP. PANP was closely related to hospitalization costs, re-admission to the hospital due to urinary tract infection after surgery and premature delivery. Multivariate analysis found that stone location and time from pain to admission were related to PANP.
Conclusion: Both early and delayed surgery are safe and effective for the treatment of renal colic during pregnancy. Early surgery may be superior to a delayed procedure due to shorter LOS. For pregnant patients with renal colic, delayed surgery within 48 h is not related to the clinical outcome of the mother and child. However, the time from pain to hospital admission was related to PANP.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8790458 | PMC |
| http://dx.doi.org/10.12998/wjcc.v10.i3.802 | DOI Listing |
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