Stone disease in pregnancy

Abstract

With increasing burden of urolithiasis among the daily urologic practice, it is no longer rare to see urolithiasis in a pregnant woman. Consequently, the practicing obstetrician has to master the diagnostic approach available for its diagnosis and know how to manage the associated risks. Diagnosis of urolithiasis during pregnancy can be a challenge due to the physiological changes of pregnancy and the need to limit exposure to ionizing radiation. Conservative management is the first treatment option for noncomplicated urolithiasis in pregnancy. If spontaneous passage of the stone does not occur or if complications develop, urologic consultation should be obtained. Urologist effort should be paid to relieve obstructed kidney to prevent obstetric complications and sepsis. A place for active endoscopic treatment procedures is still present after proper patient counseling with minimal obstetric sequelae.