Placement of ureteral stents in pregnancy using ultrasound guidance.

Authors:
  • DGD S Gray
    D S Gray
  • RFR I Feld
    R I Feld
  • DBD H Bagley
    D H Bagley
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  • 1 January 1996
    • journal article
Abstract
Urolithiasis is one of the most common causes of pain in pregnancy. Renal calculi can create a diagnostic and therapeutic challenge; left untreated, they can adversely affect maternal and fetal outcome. Although most cases of obstructive uropathy can be managed conservatively, some require relief of obstruction, usually by placement of a ureteral stent. We describe the use of ultrasound to identify an obstructed collecting system and provide guidance for placement of a double-pigtail ureteral stent in two pregnant patients. The technique used to manipulate the guide wire and stent into the renal pelvis under real-time ultrasound monitoring is discussed.