Objective: The aim of this study was to eval- uate 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 preg- nant women with flank pain who presented be- tween April 2014 and January 2020 were retro- spectively reviewed. Evaluation was made of 54 patients treated in the Urology Clinic for hydrone- phrosis and side pain treated. Clinical, radiologi- cal and laboratory findings, surgical interventions, and any complications were all recorded and eval- uated. Classified the patients under going surgical procedures as group 1, and those followed by con- servative 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 inter- vention (Group1), and 32 patients (59.2%) applied conservative management (Group2). Postopera- tively, lower urinary tract infection was observed in 1(4.5%) patient, hematuria without transfu- sion 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 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 pregnan- cy, there was no major complication of intervention to mother and infant in study. If neglected, many complications may be occure in- cluding the death of the mother and the infant.
Keywords: hydronephrosis, pregnancy, ureteral stent
ABSTRACT
Objective: The aim of this study was to eval- uate 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 preg- nant women with flank pain who presented be- tween April 2014 and January 2020 were retro- spectively reviewed. Evaluation was made of 54 patients treated in the Urology Clinic for hydrone- phrosis and side pain treated. Clinical, radiologi- cal and laboratory findings, surgical interventions, and any complications were all recorded and eval- uated. Classified the patients under going surgical procedures as group 1, and those followed by con- servative 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 inter- vention (Group1), and 32 patients (59.2%) applied conservative management (Group2). Postopera- tively, lower urinary tract infection was observed in 1(4.5%) patient, hematuria without transfu- sion 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 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 pregnan- cy, there was no major complication of intervention to mother and infant in study. If neglected, many complications may be occure in- cluding the death of the mother and the infant.
Keywords: hydronephrosis, pregnancy, ureteral stent