The Analysis Study of Safety and Outcome of Ureteroscopy During Pregnancy: A Comprehensive Systematic Review

The Analysis Study of Safety and Outcome of Ureteroscopy During Pregnancy: A Comprehensive Systematic Review

Authors

  • Adzana Yasadhy Hangga Prasetyo Dr. Loekmono Hadi Kudus Regional General Hospital, Kudus Regency, Central Java, Indonesia
  • Yosie Yulanda Putra Mayjen H.A Thalib Regional General Hospital, Sungai Penuh City, Jambi, Indonesia

Keywords:

ureteroscopy, urolithiasis, pregnancy, safety, outcome

Abstract

Background: Symptomatic urolithiasis in pregnancy can result in significant morbidity, causing conditions such as renal colic, urinary tract infections, and ureteral obstruction. This systematic review aim to analyze the safety and outcomes of uretrhoscopy for pregnant women. Methods: The study followed PRISMA 2020 guidelines, reviewing English-language publications from 2014 to 2024. Editorials, duplicate reviews from the same journal, and papers lacking a DOI were excluded. The literature search was conducted using PubMed, SagePub, SpringerLink, and Google Scholar. Result: A total of 2,172 articles were initially identified through online databases (PubMed, SagePub, SpringerLink, and Google Scholar). After three rounds of screening, eight relevant studies were selected for full-text analysis. Conclusion: Ureteroscopy is a safe, effective, and cost-efficient treatment for ureteral calculi during pregnancy. Early intervention minimizes complications, and URS remains a successful option for managing obstructive uropathy. Future research should optimize protocols and assess long-term outcomes for improved care.

References

Ishii H, Aboumarzouk OM, Somani BK. Current status of ureteroscopy for stone disease in pregnancy. Urolithiasis. 2014;42(1):1-7. doi:10.1007/s00240-013-0635-y

De Coninck V, Keller EX, Somani B, et al. Complications of ureteroscopy: a complete overview. World J Urol. 2020;38(9):2147-2166. doi:10.1007/s00345-019-03012-1

Thakur APS, Sharma V, Ramasamy V, et al. Management of ureteric stone in pregnancy: a review. Afr J Urol. 2020;26(1):60. doi:10.1186/s12301-020-00070-5

Gull S, Para SA, Singh S, Ansari FM, Kumar M, Ashraf W. Safety and Efficacy of Ureteroscopic Laser Lithotripsy in the Management of Ureteric Calculi in Pregnancy–Experience of a Tertiary Care Center. J Obstet Gynecol India. 2024;74(2):131-135. doi:10.1007/s13224-023-01889-y

Georgescu D, Multescu R, Geavlete B, Geavlete P, Chiutu L. Ureteroscopy–first-line treatment alternative in ureteral calculi during pregnancy. Chir Bucur. 2014;109(2):229-232.

Rashid AO, Abdala RY. Safety and efficacy of flexible and semi-rigid ureteroscopy with laser lithotripsy for the management of ureteral calculi in pregnancy. Afr J Urol. 2021;27(1):46. doi:10.1186/s12301-021-00148-8

Laranjo Tinoco C, Oliveira MJ, Araújo AS, et al. Surgical management of obstructing ureteral stones during pregnancy: A systematic review of different techniques. Arch Ital Urol AndrologyArchivio Ital Urol Androl. 2024;96(3). Accessed December 6, 2024. https://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=11243562&AN=180041681&h=nAyDD8p5G7clsiH5Fe4NxgY0M%2BUtKYEIhrdNdzO5%2F4pr2BuNHYx2z%2FWxEC%2BwJD4ls5cl7%2FkY1nrmNzT05Q6LOg%3D%3D&crl=c

Morgan K, Rees CD, Shahait M, et al. Urolithiasis in pregnancy: Advances in imaging modalities and evaluation of current trends in endourological approaches. Actas Urol Esp Engl Ed. 2022;46(5):259-267.

Abedi AR, Allameh F, Razzaghi MR, et al. The efficacy and safety of laser lithotripsy in pregnancy. J Lasers Med Sci. 2017;8(2):84.

Morrison JC, Van Batavia JP, Darge K, Long CJ, Shukla AR, Srinivasan AK. Ultrasound guided ureteroscopy in children: Safety and success. J Pediatr Urol. 2018;14(1):64-e1.

Mandal D, Saha MM, Pal DK. Urological disorders and pregnancy: An overall experience. Urol Ann. 2017;9(1):32-36.

Juliebø-Jones P, Beisland C, Gjengstø P, Baug S, Ulvik Ø. Ureteroscopy during pregnancy: Outcomes and lessons learned over 4 decades at a tertiary center in Norway. Curr Urol. 2023;17(1):7-12.

Shalaby EA, Ragab AA, Tawfiek ER, Faisal M. Ultrasound Diagnosis and Active Ureteroscopy for Obstructive Ureteral Calculi During Pregnancy: Multicenter Experience. J Endourol. 2021;35(10):1460-1466. doi:10.1089/end.2020.1128

Zhang S, Liu G, Duo Y, Wang J, Li J, Li C. Application of ureteroscope in emergency treatment with persistent renal colic patients during pregnancy. PLoS One. 2016;11(1):e0146597.

Wymer K, Plunkett BA, Park S. Urolithiasis in pregnancy: a cost-effectiveness analysis of ureteroscopic management vs ureteral stenting. Am J Obstet Gynecol. 2015;213(5):691-e1.

Butticè S, Laganà AS, Vitale SG, et al. Ureteroscopy in pregnant women with complicated colic pain: Is there any risk of premature labor? Arch Ital Urol E Androl. 2017;89(4):287-292. doi:10.4081/aiua.2017.4.287

Teleb M, Ragab A, Dawod T, et al. Definitive ureteroscopy and intracorporeal lithotripsy in treatment of ureteral calculi during pregnancy. Arab J Urol. 2014;12(4):299-303.

Tan ST, Chen X, Sun M, Wu B. The comparation of effects and security of double-J stent retention and ureteroscopy lithotripsy in the treatment of symptomatic ureteral calculi during pregnancy. Eur J Obstet Gynecol Reprod Biol. 2018;227:32-34.

Channa AA, Khanam S, Ashfaq S, Ahmed N, Niazi AB, Ahmad MZ. Safety And Efficacy of Ureterorenoscopy in The Management of Ureteric Stone During Pregnancy: Ureterorenoscopy in Management of Ureteric Stone During Pregnancy. Pak Biomed J. Published online 2022:301-304.

Jin X, Liu B, Xiong Y, et al. Outcomes of ureteroscopy and internal ureteral stent for pregnancy with urolithiasis: a systematic review and meta-analysis. BMC Urol. 2022;22(1):150. doi:10.1186/s12894-022-01100-w

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Published

2024-12-09

How to Cite

The Analysis Study of Safety and Outcome of Ureteroscopy During Pregnancy: A Comprehensive Systematic Review (Adzana Yasadhy Hangga Prasetyo & Yosie Yulanda Putra , Trans.). (2024). The Indonesian Journal of General Medicine, 7(1), 21-38. https://doi.org/10.70070/17c34338