Publication: The application of retrograde intrarenal surgery to remove a single large kidney stone during pregnancy
4
Issued Date
2020-01-01
Resource Type
ISSN
22532447
Other identifier(s)
2-s2.0-85090186514
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Research and Reports in Urology. Vol.12, (2020), 351-355
Suggested Citation
Kantima Jongjitaree, Tawatchai Taweemonkongsap, Sunai Leewansangtong, Sittiporn Srinualnad, Ekkarin Chotikawanich The application of retrograde intrarenal surgery to remove a single large kidney stone during pregnancy. Research and Reports in Urology. Vol.12, (2020), 351-355. doi:10.2147/RRU.S271425 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/59259
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
The application of retrograde intrarenal surgery to remove a single large kidney stone during pregnancy
Other Contributor(s)
Abstract
© 2020 Jongjitaree et al. Purpose: To report the application and outcome of retrograde intrarenal surgery (RIRS) to remove a large kidney stone during pregnancy. Patient and Methods: A 30-year-old woman presented with an infected kidney stone (3 cm in size) at 4 weeks of pregnancy. We decided to remove the stone due to the possibility of obstruction and infection and chose to carry out this procedure by RIRS. In order to avoid complications associated with anesthetic, the surgery was carried out after the infection had cleared and when the patient had entered the second trimester of pregnancy. First, we used an ureteral access sheath and semi-rigid ureteroscopy to evaluate the ureteral lumen. We confirmed that the ureteral access sheath had been positioned appropriately by direct visualization with a flexible ureterorenoscope. The procedure was then carried out with a radiation-free protocol and without fluoroscopy. Ho-YAG laser lithotripsy was used to fragment the stones, and these fragments were then removed in a stone basket. The patient required three sessions of RIRS to remove the stone in its entirety; during this time, the patient was 18–29 weeks into her pregnancy. During each session, we removed approximately 30% of the stone. The patient developed fever after the first operation but responded fully to antibiotics. There were no perioperative complica-tions, and the patient only remained in hospital for 3 days. The male infant was delivered by caesarian section at 37 weeks of pregnancy without any health complications. Results and Conclusion: We successfully removed a large kidney stone from a pregnant patient using an ureteral access sheath and RIRS without fluoroscopy. There were no complications indicating that this procedure can be carried out safely during pregnancy.