Efficacy and Safety of Laser Lithotripsy in Pregnancy

Journal of Lasers in Medical Sciences

Farzad Allameh¹  Arash Ranjbar²  Hamidreza Qashqai²  Behrouz Fadavi²  Amir Reza Abedi²  Manouchehr Bashirian²  Mohammadreza Razzaghi³  Saman Najafi³ 

[1] Center of Excellence for Training Laser Application in Medicine, Shohada-e- Tajrish Hospital, Ministry of Health, Tehran, Iran;Department of Urology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran;Laser Application in Medical Sciences Research Center, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

关键词: Complication;    Laser lithotripsy;    Pregnancy;    Ureter stone;    Urolithiasis.;   

DOI  :  10.22037/2010.v8i2.13166

学科分类：基础医学

来源: Shahid Beheshti University of Medical Sciences

【 摘 要 】

Introduction:The aim of our study was to assess the efficacy and safety of laser lithotripsy in pregnant patients. Methods:In this retrospective study, we reviewed the 15 pregnant women who have been treated for ureteral stones with semi-rigid ureteroscope and holmium laser at our center between Januarys 2007and April 2015. Results:The mean age of patients and mean gestational age was 29.3 years old 27.3 weeks respectively. Mean size of stones was 7.84 mm. Twelve patients had renal colic, and hematuria was found in 3 cases. Irritative urinary symptoms such as frequency and urgency detected in 6 ones and 2 patients had fever. The stone of all patients were fragmented by using holmium laser lithotripter. In 5 patients stone residual fragments were removed by grasper while other 10 patients were left to pass fragments spontaneously. No intraoperative and postoperative urological or obstetric complication was seen. Conclusion:Laser lithotripsy is safe and efficacious in pregnant patients who have ureteral stone that does not respond to conservative management.

【 授权许可】

CC BY