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Urological Emergencies In Clinical Practice pp 223–234Cite as

Ureteric Colic in Pregnancy

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Abstract

The incidence of ureteric colic is probably unchanged by pregnancy, ranging from 1 in 1,500 to 1 in 2,500 – the same as in nonpregnant women (Coe et al. 1978). Some authors have suggested the incidence increases significantly up to 1 in 200 (Cormier et al. 2006), although evidence to support this is limited. Ureteric colic in pregnant women tends to occur during the second or third trimester (Stothers and Lee 1992). Both urinary calcium and uric acid excretion increase in pregnancy (predisposing to stone formation), so too do urinary citrate and magnesium levels (protecting against stone formation). The development of a ureteric stone during pregnancy is a significant event for four important reasons:

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References

  • American College of Obstetricians and Gynecologists Committee on Obstetric Practice. Guidelines for diagnostic imaging during pregnancy. ACOG Committee Opinion No. 158. Washington DC: ACOG; 1995.

    Google Scholar 

  • Bott S, Patel U, Djavan B, Carroll P. Images in urology. Diagnosis and management. London: Springer; 2012.

    Book  Google Scholar 

  • Burke BJ, Washowich TL. Ureteral jets in normal second- and third trimester pregnancy. J Clin Ultrasound. 1998;26:423–6.

    Article  PubMed  CAS  Google Scholar 

  • Chaliha C, Stanton SL. Urological problems in pregnancy. BJU Int. 2002;89:469–76.

    Article  PubMed  CAS  Google Scholar 

  • Coe FL, Parks JH, Lindhermer MD. Nephrolithiasis during pregnancy. N Engl J Med. 1978;298:324–6.

    Article  PubMed  CAS  Google Scholar 

  • Cormier CM, Canzoneri BJ, Lewis DF, Briery C, Knoepp L, Mailhes JB. Urolithiasis in pregnancy: current diagnosis, treatment, and pregnancy complications. Obstet Gynecol Surv. 2006;61(11):733–41.

    Article  PubMed  Google Scholar 

  • Denstedt JD, Razvi H. Management of urinary calculi during pregnancy. J Urol. 1992;148:1072–5.

    PubMed  CAS  Google Scholar 

  • Doyle LA, Cronan JJ, Breslaw BH, Ridlen MS. New techniques of ultrasound and color Doppler in the prospective evaluation of acute renal obstruction: do they replace the intravenous urogram? Abdom Imaging. 1995;20:58–63.

    Article  Google Scholar 

  • Duncan PG, Pope WD, Cohen MM, Green N. Fetal risk of anesthesia and surgery during pregnancy. Anesthesiology. 1986;64:790–4.

    Article  PubMed  CAS  Google Scholar 

  • Greenwell TJ, Venn SN, Creighton S, Leaver RB, Woodhouse CRJ. Pregnancy after lower urinary tract reconstruction for congenital anomalies. BJU Int. 2003;92:773–7.

    Article  PubMed  CAS  Google Scholar 

  • Hellawell GO, Cowan NC, Holt SJ, Mutch SJ. A radiation perspective for treating loin pain in pregnancy by double-pigtail stents. BJU Int. 2002;90:801–8.

    Article  PubMed  CAS  Google Scholar 

  • Hendricks SK, Ross SO, Krieger JN. An algorithm for diagnosis and therapy of management and complications of urolithiasis during pregnancy. Surg Gynecol Obstet. 1991;172:49–54.

    PubMed  CAS  Google Scholar 

  • Ho S, Cowan NC, Holt SJ, et al. Percutaneous nephrostomy (PCN): preliminary results from a prospective pilot study. Eur J Radiol. 2002;12:D3.

    Article  Google Scholar 

  • Kavoussi LR, Albala DM, Basler JW, et al. Percutaneous management of urolithiasis during pregnancy. J Urol. 1992;148:1069–71.

    PubMed  CAS  Google Scholar 

  • National Council on Radiation Protection and Measurement. Medical radiation exposure of pregnant and potentially pregnant women. NCRP report no. 54. Bethesda: NCRPM; 1997.

    Google Scholar 

  • Peake SL, Rowburgh HB, Le Planglois S. Ultrasonic assessment of hydronephrosis in pregnancy. Radiology. 1983;146:167–70.

    PubMed  CAS  Google Scholar 

  • Ramchandani P, et al. Quality improvement guidelines for percutaneous nephrostomy. J Vasc Interv Radiol. 2001;12:1247–51.

    Article  PubMed  CAS  Google Scholar 

  • Rittenberg MH, Bagley DH. Ureteroscopic diagnosis and treatment of urinary calculi during pregnancy. Urology. 1988;32:427–8.

    Article  PubMed  CAS  Google Scholar 

  • Robert JA. Hydronephrosis of pregnancy. Urology. 1976;8:1–4.

    Article  Google Scholar 

  • Roy C, Saussine C, Le Bras Y, et al. Assessment of painful ureterohydronephrosis during pregnancy by MR urography. Eur Radiol. 1996;6:334–8.

    PubMed  CAS  Google Scholar 

  • Stothers L, Lee LM. Renal colic in pregnancy. J Urol. 1992;148:1383–7.

    PubMed  CAS  Google Scholar 

  • Türk C, Knoll T, Petrik A, Sarica K, Straub M, Seitz C. Guidelines on urolithiasis, vol. 16. Arnhem: European Association of Urology; 2012. ISBN 90806179-3-8.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Adolescent and Reconstructive Urology, University College London Hospitals, London, UK

    Dan Wood Ph.D., FRCS (Urol)

  2. Department of Urology, Great Ormond Street Hospital, London, UK

    Dan Wood Ph.D., FRCS (Urol)

  3. University College London, London, UK

    Dan Wood Ph.D., FRCS (Urol)

Authors
  1. Dan Wood Ph.D., FRCS (Urol)
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Corresponding author

Correspondence to Dan Wood Ph.D., FRCS (Urol) .

Editor information

Editors and Affiliations

  1. Urological Institute, Department of Urology, Southmead Hospital, Westbury on Trym, Bristol, BS10 5NB, United Kingdom

    Hashim Hashim

  2. Dept. Urology, Churchill Hospital, Old Road, Oxford, OX3 7LJ, United Kingdom

    John Reynard

  3. Dept. Radiology, Churchill Hospital, Old Road, Oxford, OX3 7LJ, United Kingdom

    Nigel C. Cowan

  4. University College Hospital, 235 Euston Road, London, NW1 2BU, United Kingdom

    Dan Wood

  5. , Department of Urology, Lenox Hill Hospital, 100 East 77th Street, New York, 10075, New York, USA

    Noel Armenakas

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© 2013 Springer-Verlag London

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Wood, D. (2013). Ureteric Colic in Pregnancy. In: Hashim, H., Reynard, J., Cowan, N., Wood, D., Armenakas, N. (eds) Urological Emergencies In Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-4471-2720-8_8

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  • DOI: https://doi.org/10.1007/978-1-4471-2720-8_8

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  • Print ISBN: 978-1-4471-2719-2

  • Online ISBN: 978-1-4471-2720-8

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