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Factors affecting the need for ureteral catheterization in symptomatic pregnancy hydronephrosis

  • Urology – Original Paper
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Abstract

Purpose

In our study, considering the clinical parameters we aimed to determine the most appropriate treatment approach for symptomatic gestational hydronephrosis and conditions requiring DJS insertion.

Methods

Our study was a retrospective cross-sectional study and 137 patients were included. The patients were divided into two groups: those with conservative follow-up and those with DJS. Demographic and clinical data, the degree of HUN detected in urinary ultrasonography and the anteroposterior diameter of the renal pelvis were evaluated. Factors affecting the need for DJS between groups were investigated. Also, it was aimed to determine the cut-off value for the HUN degree and renal pelvis AP diameter in patients with DJS.

Results

The presence of urinary system stones was statistically significantly higher in the group with DJS than in the group without DJS (p = 0.014). HUN degrees and AP diameter were statistically significantly higher in the DJS group (p < 0.001, p < 0.001, respectively). HUN degree and renal pelvis AP diameter were the two most important predictors for DJS insertion (p = 0.005, p = 0.015, respectively). The AP diameter cut-off value for DJS installation was determined as 20.5 mm.

Conclusion

Although there are conservative and surgical treatment options for symptomatic hydronephrosis of pregnancy, the factors at the decision point between these options are still a matter of debate. In our study, we concluded that the most important determinants at this decision point are the HUN degree and renal pelvis AP diameter. We think that the cut-off values we have determined for these markers will guide clinicians in deciding on treatment.

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Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

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Funding

The authors did not receive support from any organization for the submitted work.

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Authors and Affiliations

  1. Department of Urology, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey

    Osman Gercek & Veli Mert Yazar

  2. Department of Urology, Afyonkarahisar State Hospital, Afyonkarahisar, Turkey

    Kutay Topal

  3. Department of Urology, Istanbul Atlas University, Istanbul, Turkey

    Arif Demirbas

Authors
  1. Osman Gercek
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  2. Kutay Topal
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  3. Veli Mert Yazar
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  4. Arif Demirbas
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Contributions

OG Conception and design, collected data, analysis and interpretation of data, final approval. KT Collected data, analysis and interpretation of data, final approval. VMY Conception and design, analysis and interpretation of data, final approval. AD Collected data, reviewed the paper, drafting of the manuscript and final approval. All authors had full access to the data, contributed to the study. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Osman Gercek.

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The authors declare no competing interests.

Conflict of interest

The authors have no competing interests to declare that are relevant to the content of this article.

Ethical approval

This study was approved by the Afyonkarahisar Health Sciences University Clinical Research Ethics Committee (2011-KAEK-2, 2022/253). All methods were carried out in accordance with relevant guidelines and regulations of Helsinki declaration.

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Written informed consent was obtained from the participants parents or legal guardian included in the study.

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As this study involved a retrospective review, consent was not required.

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Gercek, O., Topal, K., Yazar, V.M. et al. Factors affecting the need for ureteral catheterization in symptomatic pregnancy hydronephrosis. Int Urol Nephrol (2024). https://doi.org/10.1007/s11255-024-04052-2

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