EFFECTIVENESS OF DOUBLE-J STENTING FOR HYDRONEPHROSIS DUE TO PREGNANCY: A SINGLE CENTRE EXPERIENCE
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Published:
Dec 9, 2017
Keywords:
Effectiveness, Double J stenting, Hydronephrosis, Pregnancy
Main Article Content
Abstract
Objective: To determine the effectiveness of double-J stenting for hydronephrosis
during pregnancy.
Methodology: This study was conducted at the Department of Urology, Lady
Reading Hospital, Peshawar. Study design was observational and the duration
of the study was 2 years from January 2015 to December 2016 in which a total
of 50 patients were observed. Women with antenatal hydronephrosis (grade 2
or above), before 32 completed weeks of gestation and 20-40 years of age were
included. All women were subjected to double-J stent insertion under local anesthesia
by single experience surgeon. After insertion of the stents, all women
were kept in the ward for further evaluation and discharged if stable on 2nd post
operative day. All women were regularly followed up and a check ultrasound
were done at the end of 1st month of treatment to determine the effectiveness
in terms of improvement in at least 2 grades of hydronephrosis from baseline.
RESULTS: Mean age was 28 ±4.16 years. On presentation, 23(46%) patients had
grade 2 hydronephrosis, 17(34%) had grade 3 hydronephrosis and 10(20%) had
grade 4 hydronephrosis. The effectiveness of double-J stenting for hydronephrosis
during pregnancy was 72%.
CONCLUSION: Double-J ureteral stenting is an effective method in treating
hydronephrosis during pregnancy.
during pregnancy.
Methodology: This study was conducted at the Department of Urology, Lady
Reading Hospital, Peshawar. Study design was observational and the duration
of the study was 2 years from January 2015 to December 2016 in which a total
of 50 patients were observed. Women with antenatal hydronephrosis (grade 2
or above), before 32 completed weeks of gestation and 20-40 years of age were
included. All women were subjected to double-J stent insertion under local anesthesia
by single experience surgeon. After insertion of the stents, all women
were kept in the ward for further evaluation and discharged if stable on 2nd post
operative day. All women were regularly followed up and a check ultrasound
were done at the end of 1st month of treatment to determine the effectiveness
in terms of improvement in at least 2 grades of hydronephrosis from baseline.
RESULTS: Mean age was 28 ±4.16 years. On presentation, 23(46%) patients had
grade 2 hydronephrosis, 17(34%) had grade 3 hydronephrosis and 10(20%) had
grade 4 hydronephrosis. The effectiveness of double-J stenting for hydronephrosis
during pregnancy was 72%.
CONCLUSION: Double-J ureteral stenting is an effective method in treating
hydronephrosis during pregnancy.
Article Details
How to Cite
1.
Ghani AA, Ahmad B. EFFECTIVENESS OF DOUBLE-J STENTING FOR HYDRONEPHROSIS DUE TO PREGNANCY: A SINGLE CENTRE EXPERIENCE. J Postgrad Med Inst [Internet]. 2017 Dec. 9 [cited 2024 Dec. 22];31(4). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2178
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