Pregnancy management tactics for obstructive pyelonephritis

Nikol'skaia I.G.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Bazaev V.V.

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

Bychkova N.V.

Urology Clinic, M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

Urenkov S.B.

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

Ivanov A.E.

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

Biriukova N.V.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Fedotova A.V.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Pregnancy management tactics for obstructive pyelonephritis

Authors:

Nikol'skaia I.G., Bazaev V.V., Bychkova N.V., Urenkov S.B., Ivanov A.E., Biriukova N.V., Fedotova A.V.

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Journal: Russian Bulletin of Obstetrician-Gynecologist. 2016;(3): 73‑78

DOI: 10.17116/rosakush201616373-78

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To cite this article:

Nikol'skaia IG, Bazaev VV, Bychkova NV, Urenkov SB, Ivanov AE, Biriukova NV, Fedotova AV. Pregnancy management tactics for obstructive pyelonephritis. Russian Bulletin of Obstetrician-Gynecologist. 2016;(3):73‑78. (In Russ.)
https://doi.org/10.17116/rosakush201616373-78

Подписка 2025-2 (Russian Bulletin of Obstetrician-Gynecologist)

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Upper urinary tract drainage is an emergency operation in pregnant women with acute ureteral obstruction. The paper describes urinary tract drainage procedures and the advantages of each of them. Particular emphasis is placed on the most common drainage procedure — stent placement in the upper urinary tract. Both urological and obstetrical stenting complications and procedures for their prevention are described. The management tactics for pregnant women with obstructive uropathies necessitate the multidisciplinary approach encompassing the consultations and follow-ups of an entire team of specialists, such as functional diagnosticians, obstetricians, anesthesiologists, urologists, and neonatologists, which finally determines a favorable obstetrical outcome. The authors declare no conflicts of interest.

Keywords:

pregnancy

obstructive uropathy

ureteral stenting

pyelonephritis in pregnancy

urolithiasis

Authors:

Nikol'skaia I.G.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Bazaev V.V.

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

Bychkova N.V.

Urology Clinic, M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

Urenkov S.B.

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

Ivanov A.E.

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

Biriukova N.V.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Fedotova A.V.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

List of references:

Nikol'skaya IG, Budykina TS, Bocharova II, Novikova SV, Efanov AA, Shirman LI, Krupskaya MS. Bacteriuria in pregnant women with chronic kidney disease and complications in perinatal period. Rossiiskii vestnik areshera-ginekologa. 2014;14:1:44-50. (In Russ.).
Perepanova TS, Kozlov RS, Rudnev VA, Sinyakova LA. [Antimicrobial therapy and prevention of infections of the kidneys, urinary tract and male genital organs]. Rossiiskie natsional'nye rekomendatsii. Moscow. 2013;64. (In Russ.).
Bozkurt Y, Penbegul N, Soylemez H. The efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patients. Urol Res. 2012;40:531-535.
Ambulatorno-poliklinicheskaya pomoshch' v akusherstve i ginekologii. [Outpatient care in obstetrics and gynecology]. Ed. by Sidorova IS, Ovsyannikova TV, Makarov IO. Moscow: MEDpress-inform. 2009;123-148. (In Russ.).
Ordzhonikidze NV, Emel'yanova AI. Obshchie printsipy taktiki vedeniya beremennykh i rodil'nits s infektsiyami mochevykh putei. [General principles of tactics of management of pregnant women and postpartum women with urinary infections]. Moscow. 2010;19. (In Russ.).
Vetchinnikova ON, Nikol'skaya IG, Sinyakova LA. Urinary tract Infection in pregnancy: Training manual. Moscow. 2014;39. (In Russ.).
Abdel-Kader MS, Tamam A-A, Elderwy AA, Gad M, El-Gamal MA, Kurkar A, Safwat AS. Management of symptomatic ureteral calculi during pregnancy: Experience of 23 cases. Urology Annals. 2013;5:241-244.
Georgescu D, Multescu R, Geavlef B, Geavlef P, Chiutu L. Ureteroscopi-first-line treatment alternative in ureteral calculi during pregnancy? Chirurgiya. 2004;2:109:229-232.
Laing KA, Lam TB, McClinton S, Cohen NP, Traxer O, Somani BK. Outcomes of ureteroscopy for stone disease in pregnancy: results from a systematic review of the literature. Urol Int. 2012;89:4:380-386.
Clinical practice guidelines. Urology]. Ed. by Lopatkin NA. Moscow: GEOTAR-Media. 2007;368. (In Russ.).
Negru I, Pricop C, Costachescu G. Renal colic in pregnancy. Rev Med Chir Soc Med Nat Iasi. 2010;114:439-444.
Wein AJ, Kavoussi LR, Novick AC. Campbell-walsh urology. Ed. by Matlaga BR, Lingeman JE. Urinary calculi during pregnancy. 10 th edn. Elsevier: Philadelphia. 2012;1379-1382.
Nikol'skaya IG, Novikova SV, Biryukova SV, Efanov AA, Krupskaya MS, Rifatova AV, Dolgieva LU. Urolithiasis and pregnancy. Rossiiskii vestnik areshera-ginekologa. 2012;12:1:82-86. (In Russ.).
Gorton E, Whitfield HN. Renal calculi in pregnancy. J Urol. 1997;80(Suppl. 1):4-9.
Patel SJ, Reede DL, Katz DS, Subramaniam R, Amorosa JK. Imaging the pregnant patient for nonobstetric conditions: Algorithms and radiation dose considerations. Radiographics. 2007;27:1705-1722.
Doronchuk DN, Trapeznikova MF, Dutov VV. The choice of method of drainage of the upper urinary tract urolithiasis. Urologiya. 2010;3:7-10. (In Russ.).
Doronchuk DN, Trapeznikova MF, Dutov VV. Evaluation of quality of life in patients with urolithiasis, depending on the method of drainage of the upper urinary tract. Urologiya. 2010;2:14. (In Russ.).
Shkodkin SV, Kogan MI, Lyubushkin AV, Miroshnichenko OV. Complications of stenting of the upper urinary tract. Urologiya. 2015;1:94-98. (In Russ.).
Kavoussi LR, Albala DM, Basler JW. Percutaneous management of urolithiasis during pregnancy. J Urol. 1992;148:1069-1071.
Semins MJ, Trock BJ, Matlaga BR. The safety of ureteroscopy during pregnancy: a systematic review and metaanalysis. J Urol. 2009;181:139-143.
Gallego D, Beltrán Persiva J, Pérez Mestre M. Double J catheter migrated to the bladder and encrusted. Case report and bibliographic review. Arch Esp Urol. 2012;65:2:251-255.
Kawahara T, Ito H, Terao H. Ureteral stent encrustation, incrustation and coloring: morbidity related to indwelling times. J Endourol. 2012;26:2:178-182.
Rabani SM. Combined percutaneous and transurethral lithotripsy for forgotten ureteral stents with giant encrustation. Nephrourol Mon. 2014;4:4:633-635.
Tolordava ER, Tiganova IG, Alekseeva NV. Renal calculus microflora in urolithiasis and searh for agents of control of biofilms formed by uropathogenic bacteria. Zh Mikrobiol Epidemiol Immunobiol. 2012;4:56-62.
Chepurov AK, Zenkov SS, Mamaev IE. Role of infection of the upper urinary tract in patients with a long ureteral drainage of stents. Andrologiya and genital'naya khirurgiya. 2009;173. (In Russ.).
Rosman BM, Barbosa JA, Passerotti CP. Evaluation of a novel gel-based ureteral stent with biofilm-resistant characteristics. Int Urol Nephol. 2014;46:6:1053-1058.
Venkatesan N, Shroff S, Jeyachandran K. Effekt of uropathogens on in vitro encrustation of polyurethane double J ureteral stents. Urol Res. 2011;39:1:29-37.
Chatterjee S, Maiti P, Dey R. Biofilms on indwelling urologic devices: microbes and antimicrobial management prospect. Ann Med Health Sci Res. 2014;4:1:100-104.
Serov VN, Baranov II, Tkachenko LV. Evaluation of combined experience in the application of herbal medicines in pregnant women (retrospective, multicenter, observational study). Informatsionnoe pis'mo. Moscow. 2012. (In Russ.).
Chepurov AK, Zenkov SS, Mamaev IE. Effect of long-term drainage of the upper urinary tract ureteral stents on the functional capacity of the kidneys. Andrologiya i genital'naya khirurgiya. 2009;172. (In Russ.).
Johnson EB, Krambeck AE, White WM, Hyams E, Beddies J, Marien T. Obstetric complications of ureteroscopy during pregnancy. J Urol. 2012;188:1:151-154.
Bazaev VV, Urenkov SV, Ivanov AE, Beizerov IM. Surgical treatment for urolithiasis in pregnant women. Rossiiskii vestnik areshera-ginekologa. 2015;6:88-91. (In Russ.).
Adanur S, Ziypak T, Bedir F, Yapanoglu T, Aydin R H, Yilmaz M, Alksoy M, Ozbey I. Ureteroskopy and holmium lazer litotripsi: Is this procedure safe in pregnant women with ureteral stones at different lokations? Italiano Urologia. 2014;86:2.

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