University Hospital Southampton, Southampton, UK.
1st Department of Urology, Aretaieion Hospital, National and Kapodistrian Univeristy of Athens, Athens, Greece.
World J Urol. 2017 Nov;35(11):1637-1649. doi: 10.1007/s00345-017-2037-1. Epub 2017 Apr 19.
Management of urolithiasis in pregnancy can be challenging for most urologists with diagnostic and treatment dilemma to ensure the best outcome for both mother and fetus. We wanted to review the literature for urolithiasis in pregnancy with a practical management guide for urologists.
A non-systematic review of literature was carried out for all English language literature using Medline. To ensure a more comprehensive search, the review of diagnosis and management of pregnant patients with urolithiasis was carried out separately, by two authors independently. Due to diagnostic complexity, investigations (US, CT, MRI) carried out were assessed separately.
Our search included diagnostic studies such as US, CT and MRI (73, 20 and 27 articles, respectively) and management studies (55 articles in total). Details on etiology, radiation risk, safety of various diagnostic modalities, medications and treatment options are covered through an evidence-based approach. We provide a practical guide for urologists in what is clearly a stressful situation for patient and physician alike.
Urolithiasis in pregnancy needs a careful multidisciplinary management to achieve good outcomes for both mother and baby. Our review shows that a balanced approach for diagnosis and treatment seems to achieve the best outcomes in pregnancy.
对于大多数泌尿科医生来说，妊娠合并尿路结石的管理具有诊断和治疗上的困境，需要确保母婴双方的最佳结局。我们希望针对妊娠合并尿路结石的文献进行综述，为泌尿科医生提供实用的管理指南。
对所有英文文献进行非系统性文献回顾，使用 Medline 进行检索。为了确保更全面的检索，由两位作者分别对妊娠患者尿路结石的诊断和管理进行了单独的综述。由于诊断的复杂性，对所进行的检查（US、CT、MRI）也进行了单独评估。
我们的检索包括诊断研究，如 US、CT 和 MRI（分别有 73、20 和 27 篇文章）和管理研究（共 55 篇文章）。通过循证方法涵盖了病因、辐射风险、各种诊断方式的安全性、药物和治疗选择的详细信息。我们为泌尿科医生提供了一个实用的指南，因为这对患者和医生来说都是一个压力很大的情况。
妊娠合并尿路结石需要仔细的多学科管理，以实现母婴双方的良好结局。我们的综述表明，诊断和治疗的平衡方法似乎可以在妊娠期间取得最佳结局。
