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Management of urolithiasis in pregnancy
Authors Semins MJ, Matlaga BR
Received 11 July 2013
Accepted for publication 17 August 2013
Published 30 September 2013 Volume 2013:5 Pages 599—604
DOI https://doi.org/10.2147/IJWH.S51416
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Michelle Jo Semins,1 Brian R Matlaga2
1University of Pittsburgh Medical Center, Pittsburgh, PA, USA; 2Johns Hopkins Medical Institutions, Baltimore, MD, USA
Abstract: Kidney stones are very common and unfortunately do not spare the pregnant population. Anatomical and pathophysiological changes occur in the pregnant female that alter the risk for development of nephrolithiasis. Acute renal colic during pregnancy is associated with significant potential risks to both mother and fetus. Diagnosis is often challenging because good imaging options without radiation use are limited. Management of diagnosed nephrolithiasis is unique in the pregnant population and requires multi-disciplinary care. Herein, we review the metabolic alterations during pregnancy that may promote kidney stone formation, the complications associated with acute renal colic in the pregnant state, and our proposed diagnostic and management algorithms when dealing with this clinical scenario.
Keywords: kidney stones, nephrolithiasis, pregnancy
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