Has the COVID-19 pandemic affected ureteral stone management in pregnant women? A retrospective single-center study.

IF 0.8 Q4 UROLOGY & NEPHROLOGY Urologia Journal Pub Date : 2024-08-01 Epub Date: 2023-12-24 DOI:10.1177/03915603231216154
Abdolreza Haghpanah, Hooman Kamran, Dariush Irani, Erfan Kohansal, Mahdi Rahmanian, Lorenzo Defidio, Anahita Dehghani, Zahra Jahanabadi, Mohammad Reza Askarpour
{"title":"Has the COVID-19 pandemic affected ureteral stone management in pregnant women? A retrospective single-center study.","authors":"Abdolreza Haghpanah, Hooman Kamran, Dariush Irani, Erfan Kohansal, Mahdi Rahmanian, Lorenzo Defidio, Anahita Dehghani, Zahra Jahanabadi, Mohammad Reza Askarpour","doi":"10.1177/03915603231216154","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to evaluate the effect of coronavirus disease (COVID-19) on the patients' referral in the pregnant population and also investigate each treatment approach's advantages and disadvantages for acute renal colic in pregnancy.</p><p><strong>Methods: </strong>In this retrospective study, we included all pregnant women with ureteral stones referred to a referral center between January 2019 and March 2021.</p><p><strong>Results: </strong>Among 53 pregnant women, 18 (33.9%) were on conservative therapy, which passed the stone without any complications. Double J stent or nephrostomy tube insertion was done for 24 patients (45.2%). Seventeen of these patients (70.8%) presented post-surgical complications, including hematuria (29.2%), pyelonephritis (20.8%), and lower urinary tract symptoms (20.8%). Transurethral lithotripsy (TUL) was done in 11 patients (20.7%). Only one of these patients developed hematuria following TUL. Thus, in our population study, double J stent or nephrostomy insertion was associated with a higher chance of postoperative complications than TUL (<i>p</i>-value = 0.001). Thirty-six patients were referred within 13 months before the entry of COVID-19, while 17 were referred during a similar approximate duration after the COVID-19 entry into the country. Only the initial presentation had a significant difference between these two periods (<i>p</i>-value = 0.034).</p><p><strong>Conclusions: </strong>When conservative treatment fails, we recommend TUL as the second-line treatment over temporary procedures, such as double J stent or nephrostomy insertion. Of note, in a group of patients with an emergent clinical setting, including active infection, deteriorating renal function, signs of preterm labor, solitary kidney, etc., double J or nephrostomy tube insertion remains the preferred management method for its fast resolution of obstruction and infection. Besides, a decrease in visits with an increase in complicated cases after COVID-19 was observed, maybe due to a delay in referring.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"543-549"},"PeriodicalIF":0.8000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urologia Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/03915603231216154","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/12/24 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: This study aimed to evaluate the effect of coronavirus disease (COVID-19) on the patients' referral in the pregnant population and also investigate each treatment approach's advantages and disadvantages for acute renal colic in pregnancy.

Methods: In this retrospective study, we included all pregnant women with ureteral stones referred to a referral center between January 2019 and March 2021.

Results: Among 53 pregnant women, 18 (33.9%) were on conservative therapy, which passed the stone without any complications. Double J stent or nephrostomy tube insertion was done for 24 patients (45.2%). Seventeen of these patients (70.8%) presented post-surgical complications, including hematuria (29.2%), pyelonephritis (20.8%), and lower urinary tract symptoms (20.8%). Transurethral lithotripsy (TUL) was done in 11 patients (20.7%). Only one of these patients developed hematuria following TUL. Thus, in our population study, double J stent or nephrostomy insertion was associated with a higher chance of postoperative complications than TUL (p-value = 0.001). Thirty-six patients were referred within 13 months before the entry of COVID-19, while 17 were referred during a similar approximate duration after the COVID-19 entry into the country. Only the initial presentation had a significant difference between these two periods (p-value = 0.034).

Conclusions: When conservative treatment fails, we recommend TUL as the second-line treatment over temporary procedures, such as double J stent or nephrostomy insertion. Of note, in a group of patients with an emergent clinical setting, including active infection, deteriorating renal function, signs of preterm labor, solitary kidney, etc., double J or nephrostomy tube insertion remains the preferred management method for its fast resolution of obstruction and infection. Besides, a decrease in visits with an increase in complicated cases after COVID-19 was observed, maybe due to a delay in referring.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
COVID-19 大流行是否影响了孕妇的输尿管结石治疗?一项回顾性单中心研究。
导言:本研究旨在评估冠状病毒病(COVID-19)对妊娠人群转诊患者的影响,同时探讨各种治疗方法对妊娠期急性肾绞痛的利弊:在这项回顾性研究中,我们纳入了2019年1月至2021年3月期间转诊至转诊中心的所有输尿管结石孕妇:53名孕妇中有18人(33.9%)接受了保守治疗,结石顺利排出,未出现任何并发症。24名患者(45.2%)接受了双J支架或肾造瘘管插入术。其中 17 名患者(70.8%)出现了手术后并发症,包括血尿(29.2%)、肾盂肾炎(20.8%)和下尿路症状(20.8%)。11名患者(20.7%)接受了经尿道碎石术(TUL)。其中只有一名患者在经尿道碎石术后出现血尿。因此,在我们的人群研究中,双 J 支架或肾造瘘术的术后并发症发生率高于 TUL(P 值 = 0.001)。有 36 名患者是在 COVID-19 进入中国前的 13 个月内转诊的,而有 17 名患者是在 COVID-19 进入中国后的类似时间内转诊的。这两个时间段内,只有初次发病的患者有显著差异(P 值 = 0.034):结论:当保守治疗失败时,我们建议将 TUL 作为二线治疗方法,而不是双 J 支架或肾造口术等临时手术。值得注意的是,对于一些临床情况紧急的患者,包括活动性感染、肾功能恶化、早产征兆、单肾等,双 J 或肾造瘘管插入术仍是首选的治疗方法,因为它能快速解决梗阻和感染问题。此外,在 COVID-19 之后,观察到就诊人数减少,但复杂病例增加,这可能是由于转诊延迟所致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Urologia Journal
Urologia Journal UROLOGY & NEPHROLOGY-
CiteScore
0.60
自引率
12.50%
发文量
66
期刊最新文献
Risk factors for benign uretero-enteric anastomotic strictures after open radical cystectomy and ileal conduit. On integrative analysis of multi-level gene expression data in Kidney cancer subgrouping. A new approach to repair recurrent vescicourethral anastomotic strictures after radical prostatectomy: The use of prerectal access. Potential value of Prostate Cancer Antigen 3 score in prediction of final cancer pathology parameters in radical prostatectomy patients. Retrograde urethrography (RUG) combined with voiding cystourethrography (VCUG) versus surgical findings in assessment of urethral strictures length.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1