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Article

Early diagnosis and management of maternal ureterohydronephrosis during pregnancy

  • Authors:
    • Elena Ciciu
    • Ana-Maria Paṣatu‑Cornea
    • Lucian Cristian Petcu
    • Liliana-Ana Tuţă
  • View Affiliations / Copyright

    Affiliations: Department of Nephrology, Constanta County Emergency Hospital, 900591 Constanţa, Romania, Department of Biophysics and Biostatics, Faculty of Dental Medicine, ‘Ovidius’ University of Constanţa, 900527 Constanţa, Romania
  • Article Number: 27
    |
    Published online on: November 5, 2021
       https://doi.org/10.3892/etm.2021.10949
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Abstract

Maternal ureterohydronephrosis (UHN) is a common anatomical change during the evolution of pregnancy, diagnosed especially after the 20th week of pregnancy. The aim of the present study was to evaluate the stages of UHN during pregnancy, depending on the gestational age, and to monitor the symptomatology and the adequate management. A total of 58 pregnant women with UHN, hospitalized in the Constanta County Emergency Hospital, were included in the present study, and had nephrological monitoring using ultrasound examination. Right UHN was observed in all cases and left UHN was observed in only 67.24% of the cases. Regarding the gestational age, right UHN grade III was most commonly seen between 27 and 31 weeks of pregnancy (48.6% of total right UHN grade III from the studied group). The data showed that gestational age and grade of UHN had a highly dependent association in the studied group. The majority of our patients (67.24%) were symptomatic, and the most common complaint on presentation was lumbar pain. According to the visual analog scale (VAS) of the lumbar pain, the group could be distributed as follows: 17.24% with severe pain, 36.21% with moderate pain and 13.79% with mild pain. Eight pregnant women (13.79%) from the present study developed UHN due to passage of a ureteral stone, although the majority of the patients experienced complications with urinary tract infection and acute kidney injury. In addition, 97% of the symptomatic UHN responded to conservatory treatment and only 2 patients (3.45%) with severe symptomatic UHN needed ureteral stent insertion. Data analysis was performed using IBM SPSS Statistics 23. The study highlighted the existence of an association between gestational age and UHN grading.
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1 

Fried AM, Woodring JH and Thompson DJ: Hydronephrosis of pregnancy: A prospective sequential study of the course of dilatation. J Ultrasound Med. 2:255–259. 1983.PubMed/NCBI View Article : Google Scholar

2 

Faundes A, Bricola-Filho M and Pinto e Silva JL: Dilatation of the urinary tract during pregnancy: Proposal of a curve of maximal caliceal diameter by gestational age. Am J Obstet Gynecol. 178:1082–1086. 1998.PubMed/NCBI View Article : Google Scholar

3 

Schulman A and Herlinger H: Urinary tract dilatation in pregnancy. Br J Radiol. 48:638–645. 1975.PubMed/NCBI View Article : Google Scholar

4 

Onen A: Grading of hydronephrosis: An ongoing challenge. Front Pediatr. 8(458)2020.PubMed/NCBI View Article : Google Scholar

5 

Meares EM Jr: Urologic surgery during pregnancy. Clin Obstet Gynecol. 21:907–920. 1978.PubMed/NCBI View Article : Google Scholar

6 

Fainstat T: Ureteral dilatation in pregnancy: A review. Obstet Gynecol Surv. 18:845–860. 1963.PubMed/NCBI

7 

Puškar D, Balagović I, Filipović A, Knezović N, Kopjar M, Huis M and Gilja I: Symptomatic physiologic hydronephrosis in pregnancy: Incidence, complications and treatment. Eur Urol. 39:260–263. 2001.PubMed/NCBI View Article : Google Scholar

8 

The S and Chan L: OP21.05: Pelvicalyceal dilatation in maternal kidneys during normal pregnancy-an uncommon finding? Ultrasound Obstet Gynecol. 30:529. 2007.

9 

Karabulut N, Baki Yaǧci A and Karabulut A: Renal vein Doppler ultrasound of maternal kidneys in normal second and third trimester pregnancy. Br J Radiol. 76:444–447. 2003.PubMed/NCBI View Article : Google Scholar

10 

Peake SL, Roxburgh HB and Langlois SL: Ultrasonic assessment of hydronephrosis of pregnancy. Radiology. 146:167–170. 1983.PubMed/NCBI View Article : Google Scholar

11 

Cietak KA and Newton JR: Serial qualitative maternal nephrosonography in pregnancy. Br J Radiol. 58:399–404. 1985.PubMed/NCBI View Article : Google Scholar

12 

Ciciu E, Pașatu-Cornea AM and Tuta LA: Mo117 the impact of gestational age on anatomical and physiological changes of the upper urinary tract during pregnancy. Nephrol Dialysis Transplantation: May 29, 2021 (Epub ahead of print).

13 

Rasmussen PE and Nielsen FR: Hydronephrosis during pregnancy: A literature survey. Eur J Obstet Gynecol Reprod Biol. 27:249–259. 1988.PubMed/NCBI View Article : Google Scholar

14 

Cheung KL and Lafayette RA: Renal physiology of pregnancy. Adv Chronic Kidney Dis. 20:209–214. 2013.PubMed/NCBI View Article : Google Scholar

15 

Dawn CS: Textbook of Obestetrics and Neonatology. 11th edition. Pratap Medical Publishers, New Delhi, 1995.

16 

Schneider DH, Eichner E and Gordon MB: An attempt at production of hydronephrosis of pregnancy, artificially induced. Am J Obstet Gynecol. 65:660–665. 1953.PubMed/NCBI View Article : Google Scholar

17 

Sala NL and Rubí RA: Ureteral function in pregnant women. II. Ureteral contractility during normal pregnancy. Am J Obstet Gynecol. 99:228–236. 1967.PubMed/NCBI View Article : Google Scholar

18 

Dawood S, Amin S and ShekhMuhammed S: Sonographic evaluation of maternal kidneys in normal pregnancy. Zanco J Med Sci. 19:880–885. 2015.

19 

Eckford SD and Gingell JC: Ureteric obstruction in pregnancy-diagnosis and management. Br J Obstet Gynaecol. 98:1137–1140. 1991.PubMed/NCBI View Article : Google Scholar

20 

Zwergel T, Lindenmeir T and Wullich B: Management of acute hydronephrosis in pregnancy by ureteral stenting. Eur Urol. 29:292–297. 1996.PubMed/NCBI View Article : Google Scholar

21 

Tsai YL, Seow KM, Yieh CH, Chong KM, Hwang JL, Lin YH and Huang LW: Comparative study of conservative and surgical management for symptomatic moderate and severe hydronephrosis in pregnancy: A prospective randomized study. Acta Obstet Gynecol Scand. 86:1047–1050. 2007.PubMed/NCBI View Article : Google Scholar

22 

McGready R, Wuthiekanun V, Ashley EA, Tan SO, Pimanpaanrak M, Viladpai-Nguen SJ, Jesadapanpong W, Blacksell SD, Proux S, Day NP, et al: Diagnostic and treatment difficulties of pyelonephritis in pregnancy in resource-limited settings. Am J Trop Med Hyg. 83:1322–1329. 2010.PubMed/NCBI View Article : Google Scholar

23 

Rosenberg E, Sergienko R, Abu-Ghanem S, Wiznitzer A, Romanowsky I, Neulander EZ and Sheiner E: Nephrolithiasis during pregnancy: Characteristics, complications, and pregnancy outcome. World J Urol. 29:743–747. 2011.PubMed/NCBI View Article : Google Scholar

24 

Çeçen K and Ülker K: The comparison of double J stent insertion and conservative treatment alone in severe pure gestational hydronephrosis: A case controlled clinical study. ScientificWorldJournal. 2014(989173)2014.PubMed/NCBI View Article : Google Scholar

25 

Haleblian G, Kijvikai K, de La Rosette J and Preminger G: Ureteral stenting and urinary stone management: A systematic review. J Urol. 179:424–430. 2008.PubMed/NCBI View Article : Google Scholar

26 

MacNeily AE, Goldenberg SL, Allen GJ, Ajzen SA and Cooperberg PL: Sonographic visualization of the ureter in pregnancy. J Urol. 146:298–301. 1991.PubMed/NCBI View Article : Google Scholar

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Copy and paste a formatted citation
Spandidos Publications style
Ciciu E, Paṣatu‑Cornea A, Petcu LC and Tuţă L: Early diagnosis and management of maternal ureterohydronephrosis during pregnancy. Exp Ther Med 23: 27, 2022.
APA
Ciciu, E., Paṣatu‑Cornea, A., Petcu, L.C., & Tuţă, L. (2022). Early diagnosis and management of maternal ureterohydronephrosis during pregnancy. Experimental and Therapeutic Medicine, 23, 27. https://doi.org/10.3892/etm.2021.10949
MLA
Ciciu, E., Paṣatu‑Cornea, A., Petcu, L. C., Tuţă, L."Early diagnosis and management of maternal ureterohydronephrosis during pregnancy". Experimental and Therapeutic Medicine 23.1 (2022): 27.
Chicago
Ciciu, E., Paṣatu‑Cornea, A., Petcu, L. C., Tuţă, L."Early diagnosis and management of maternal ureterohydronephrosis during pregnancy". Experimental and Therapeutic Medicine 23, no. 1 (2022): 27. https://doi.org/10.3892/etm.2021.10949
Copy and paste a formatted citation
x
Spandidos Publications style
Ciciu E, Paṣatu‑Cornea A, Petcu LC and Tuţă L: Early diagnosis and management of maternal ureterohydronephrosis during pregnancy. Exp Ther Med 23: 27, 2022.
APA
Ciciu, E., Paṣatu‑Cornea, A., Petcu, L.C., & Tuţă, L. (2022). Early diagnosis and management of maternal ureterohydronephrosis during pregnancy. Experimental and Therapeutic Medicine, 23, 27. https://doi.org/10.3892/etm.2021.10949
MLA
Ciciu, E., Paṣatu‑Cornea, A., Petcu, L. C., Tuţă, L."Early diagnosis and management of maternal ureterohydronephrosis during pregnancy". Experimental and Therapeutic Medicine 23.1 (2022): 27.
Chicago
Ciciu, E., Paṣatu‑Cornea, A., Petcu, L. C., Tuţă, L."Early diagnosis and management of maternal ureterohydronephrosis during pregnancy". Experimental and Therapeutic Medicine 23, no. 1 (2022): 27. https://doi.org/10.3892/etm.2021.10949
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