Abstract :
Renal calculi, though rare in pregnancy, present a significant clinical challenge due to their potential to cause serious complications for both the mother and fetus. The management of renal calculi in pregnant patients requires a delicate balance to minimize maternal symptoms and complications, such as urinary obstruction or infection, while also safeguarding fetal well-being. Given these challenges, this study aims to explore effective diagnostic and management strategies tailored to pregnant individuals with renal calculi, ensuring optimal outcomes for both mother and child. This case series includes four pregnant women diagnosed with renal calculi, managed based on clinical severity. It involves pregnancies varying in gestation age across all three trimesters, with varying severity of clinical symptoms ranging from calculi size of 5 mm to 9 mm. Management strategies varied from conservative treatment with hydration and analgesia to minimally invasive interventions to relieve symptoms. The easiest modality of investigation was urine routine analysis and the investigation of choice was ultrasonography, whereas most commonly used minimally invasive procedure was double J stenting. All cases had favorable maternal and fetal outcomes. The management of renal calculi during pregnancy requires a balance between minimizing fetal risks and addressing maternal complications. Advances in minimally invasive techniques have improved outcomes, emphasizing the need for a multidisciplinary approach.
Keyword :
Renal calculi, Pregnancy, Ureteroscopy, Stent placement, Conservative management, Hydronephrosis.