Recurrence of stone formation in pregnant women with a ureteral stent

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Abstract

A placement of ureteral stents in pregnant women is a routine endoscopic procedure, which is widely used in case of obstructive uropathy, urolithiasis and hydronephrosis. At the same time, it should be remembered that there is a risk of accelerated calcification (stone formation) of stents due to gestational features of calcium metabolism, changes in the biochemical composition of urine. It can lead to obstructive, infectious and obstetric complications. Therefore, it is important to establish strict indications for upper urinary tract drainage during pregnancy and to determine the correct method for successful treatment and prevention of complications. Careful follow-up of women with ureteral stents and their timely removal or replacing are mandatory. A clinical observation of a woman with urolithiasis and the need to perform multiple urological procedure during two consecutive pregnancies is presented in the article.

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About the authors

N. V. Bychkova

GBUZ Moscow district “Moscow Regional Research Clinical Institute named after M.F. Vladimirsky”

Author for correspondence.
Email: nat.uro@mail.ru
ORCID iD: 0000-0001-9082-5978

Ph.D., associate professor, Senior Researcher of the Department of Urology

Russian Federation, Moscow

S.B. B. Urenkov

GBUZ Moscow district “Moscow Regional Research Clinical Institute named after M.F. Vladimirsky”

Email: urenkov.sb@mail.ru
ORCID iD: 0009-0000-8129-0166

Ph.D., MD, leading researcher 

Russian Federation, Moscow

А. А. Podoinitsin

GBUZ Moscow district “Moscow Regional Research Clinical Institute named after M.F. Vladimirsky”

Email: a4955145801@gmail.com
ORCID iD: 0000-0001-9739-6248

Ph.D., MD, Head of the Department of Urology

Russian Federation, Moscow

E. I. Prokopenko

GBUZ Moscow district “Moscow Regional Research Clinical Institute named after M.F. Vladimirsky”; Moscow Regional Research Institute of Obstetrics and Gynecology

Email: renalnephron@gmail.com
ORCID iD: 0000-0002-7686-9816

Ph.D., MD, Professor of the Department of Transplantology, Nephrology and Artificial Organs

Russian Federation, Moscow; Moscow

I. G. Nikolskaya

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: nikolskaya.55@bk.ru
ORCID iD: 0000-0002-5579-0084

Ph.D., MD, Scientific Secretary

Russian Federation, Moscow

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Supplementary files

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1. JATS XML
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2. Fig. 1. Cytoscopic picture of patient S. Encrusted distal end of the stent in the bladder

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3. Fig. 2. Fragment of cystolithotripsy. Fragmentation and removal of the distal part of the “fossilized” ureteral stent

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4. Fig. 3. Fragments of crushed stone of the ureteral stent

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5. Fig. 4. Removed distal fragment of ureteral stent

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