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Conservative/surgical treatment predictors of maternal hydronephrosis: results of a single-center retrospective non-randomized non-controlled observational study

  • Urology - Original Paper
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Abstract

Purpose

To determine the parameters that may help the clinicians decide the best suitable treatment method for the pregnant women with symptomatic hydronephrosis which will be based on the easily accessible laboratory tests, monitoring methods and clinical symptoms.

Methods

Digital data and documents of 246 pregnant women with symptomatic hydronephrosis who were hospitalized in our clinic between the dates of January 2011 and January 2016 were retrospectively evaluated. All patients were statistically evaluated in terms of age, symptomatic maximal anterior–posterior diameter of the renal pelvis (MADP), parity, C-reactive protein (CRP) level, white blood cell count (WBC), presence of pyuria, growth of urine culture, fever, serum urine and creatinine levels, visual analog scale (VAS) score of pre- and post-therapy and threatened preterm labor.

Results

The study includes a total of 211 pregnant women with symptomatic hydronephrosis. In the second and third trimester groups, the surgical treatment group statistically provided higher levels of CRP, WBC and VAS. Mean MADP in the second trimester of the conservative and surgical groups where symptomatic hydronephrosis was on the right side was 16.67 ± 4.67 and 28.68 ± 7.70 mm, respectively. Mean MADP in the third trimester group of the conservative and surgical groups where symptomatic hydronephrosis was on the right side was 16.96 ± 5.96 and 28.85 ± 7.64 mm, respectively.

Conclusions

In patients with symptomatic pregnancy hydronephrosis, the likelihood of surgical treatment for CRP levels, WBC counts and VAS is high.

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Abbreviations

DJ:

Double-J stent

BUN:

Blood urea nitrogen

WBC:

White blood cell count

CRP:

C-reactive protein

USG:

Transabdominal ultrasonography

VAS:

Visual analog scale

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Authors and Affiliations

  1. Department of Urology, Ministry of Health, Adana Numune Training and Research Hospital, Serinevler Mh EgeBagatur Bul Adana Numune Egitim Arastirma Hastanesi, 01240, Yuregir, Adana, Turkey

    Hakan Ercil, Ferhat Ortoglu, Ergun Alma, Umut Unal, Mehmet Eflatun Deniz & Zafer Gokhan Gurbuz

  2. Department of Urology, Ministry of Health, Istanbul Taksim Training and Research Hospital, Istanbul, Turkey

    Burak Arslan

  3. Department of Urology, Hitit University Corum Education and Training Hospital, Corum, Turkey

    Aykut Bugra Senturk

Authors
  1. Hakan Ercil
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  2. Burak Arslan
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  3. Ferhat Ortoglu
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  4. Ergun Alma
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  5. Umut Unal
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  6. Mehmet Eflatun Deniz
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  7. Aykut Bugra Senturk
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  8. Zafer Gokhan Gurbuz
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Contributions

HE helped in research concept and design and wrote the article. BA, AS and ZG finally approved the article. FO and EA were involved in the collection and/or assembly of data. UU and MED were involved in the data analysis and interpretation.

Corresponding author

Correspondence to Hakan Ercil.

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The authors of the study declare no conflict of interest.

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Cite this article

Ercil, H., Arslan, B., Ortoglu, F. et al. Conservative/surgical treatment predictors of maternal hydronephrosis: results of a single-center retrospective non-randomized non-controlled observational study. Int Urol Nephrol 49, 1347–1352 (2017). https://doi.org/10.1007/s11255-017-1619-6

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  • DOI: https://doi.org/10.1007/s11255-017-1619-6

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