title: Management of symptomatic ureteral calculi during pregnancy: Experience of 23 cases.
abstract: OBJECTIVE
  To present our experience in the management of symptomatic ureteral calculi during pregnancy.
  
  
  METHODS
  Twenty-three pregnant women, aged between 19 and 28 years presented to the obstetric and urology departments with renal colic (17 cases, 73.9%) and fever and renal pain (6 cases, 26.1%); suggesting ureteric stones. The diagnosis was established by ultrasonography (abdominal and transvaginal). Outpatient follow-up consisted of clinical assessment and abdominal ultrasonography. Follow-up by X-ray of the kidneys, ureter, and bladder (KUB), or intravenous urography (IVU) was done in the postpartum period.
  
  
  RESULTS
  Double J (DJ) stent was inserted in six women (26%) with persistent fever followed by extracorporeal shock wave lithotripsy (ESWL) one month post-partum. Ureteroscopic procedure and pneumatic lithotripsy were performed for 17 women (distal ureteric stone in 10, middle ureter in 5, and upper ureteric stone in 2). Stone-free rate was 100%. No urologic, anesthetic, or obstetric complications were encountered.
  
  
  CONCLUSIONS
  Ureteroscopy, pneumatic lithotripsy, and DJ insertion could be a definitive and safe option for the treatment of obstructive ureteric stones during pregnancy.
authors: Department of Urology, Faculty of Medicine, South Valley University, Quena, Egypt.
authors: Mohammad S
authors: MS
authors: Abdel-Kader
authors: Abdel-Aziz
authors: AA
authors: Tamam
authors: Ahmad A
authors: AA
authors: Elderwy
authors: Mohammad
authors: M
authors: Gad
authors: Mohammad A
authors: MA
authors: El-Gamal
authors: Adel
authors: A
authors: Kurkar
authors: Ahmed S
authors: AS
authors: Safwat
keywords: Pregnancy; ureteral calculi; ureteroscopy