urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2019-7-3-35-40urovest-269Research ArticleДИСКУССИОННЫЕ СТАТЬИDISCUSSION PAGEДренирование верхних мочевых путей при остром пиелонефрите у беременных: Зачем? Кому? Как долго?Upper urinary tract draining in acute gestational pyelonephritis: What for? When? For how long?https://orcid.org/0000-0002-0657-5601ЛокшинК. Л.LokshinK. L.

Локшин Константин Леонидович – доктор медицинских наук, руководитель

Москва

Konstantin L. Lokshin – M.D., Ph.D. (M), D.M.S.; Head

Moscow

k_lokshin@hotmail.comЦентр оперативной урологии, онкоурологии и андрологии GMS клиникиРоссияClinic of Urology, GMS Clinics and HospitalsRussian Federation201918092019733540Copyright © Локшин К.Л., 20192019Локшин К.Л.Lokshin K.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/269

Проблемы диагностики и лечения урологических заболеваний у беременных очень сложны в связи недостатком объективных научных данных, соответствующих принципам доказательной медицины. Не исключением является проблема острого пиелонефрита у беременных, особенно в контексте выработки показаний к дренированию верхних мочевых путей и в их сроках. Данный обзор представляет собой компиляцию существующих литературных данных по вопросу дренирования при остром гестационном пиелонефрите, а также анализ собственных клинических наблюдений.

Diagnosis and optimal treatment of urological conditions in pregnant have lots of controversy due to a lack of objective and evidence-based data. This is equally true in for acute gestational pyelonephritis patients, particularly in the context of indications for upper urinary tract ‘de-obstruction’/ draining, and catheter stay in situ time. This review is a compilation of current scientific data concerning upper urinary tract draining in patients with acute gestational pyelonephritis, as well analysis of our own data and results.

острый гестационный пиелонефритдренированиестентированиепиелонефрит беременныхсроки дренировванияacute gestational pyelonephritisdrainingstentingpyelonephritis in pregnantcatheter stay in situ timeReferencesGilstrap LC, Ramin SM. Urinary tract infections during pregnancy. Obstet Gynecol Clin North Am. 2001;28(3):581591. PMID: 11512502Gilstrap LC, Ramin SM. Urinary tract infections during pregnancy. Obstet Gynecol Clin North Am. 2001;28(3):581591. PMID: 11512502Rodriguez PN, Klein AS. Management of urolithiasis during pregnancy. Surg Gynecol Obstet. 1988;166(2):103-106. PMID: 3336823Rodriguez PN, Klein AS. Management of urolithiasis during pregnancy. Surg Gynecol Obstet. 1988;166(2):103-106. PMID: 3336823Hill JB, Sheffield JS, McIntire DD, Wendel GD Jr. Acute pyelonephritis in pregnancy. Obstet Gynecol. 2005;105(1):1823. DOI: 10.1097/01.AOG.0000149154.96285.a0Hill JB, Sheffield JS, McIntire DD, Wendel GD Jr. Acute pyelonephritis in pregnancy. Obstet Gynecol. 2005;105(1):1823. DOI: 10.1097/01.AOG.0000149154.96285.a0Wing DA, Fassett MJ, Getahun D. Acute pyelonephritis in pregnancy: an 18-year retrospective analysis. Am J Obstet Gynecol. 2014;210(3):219.e1-6. DOI: 10.1016/j.ajog.2013.10.006Wing DA, Fassett MJ, Getahun D. Acute pyelonephritis in pregnancy: an 18-year retrospective analysis. Am J Obstet Gynecol. 2014;210(3):219.e1-6. DOI: 10.1016/j.ajog.2013.10.006Andrews WW, Cox SM, Gilstrap LC. Urinary tract infecti ons in pregnancy. Int Urogynecol J. 1990;1:155-163. DOI: 10.1007/BF00376606Andrews WW, Cox SM, Gilstrap LC. Urinary tract infections in pregnancy. Int Urogynecol J. 1990;1:155-163. DOI: 10.1007/BF00376606Harris RE. The significance of eradication of bacteriuria during pregnancy. Obstet Gynecol. 1979;53(1):71-73. PMID: 760022Harris RE. The significance of eradication of bacteriuria during pregnancy. Obstet Gynecol. 1979;53(1):71-73. PMID: 760022Gilstrap LC, Ramin SM. Urinary tract infections during pregnancy. Obstet Gynecol Clin North Am. 2001;28(3):581-591. PMID: 11512502Gilstrap LC, Ramin SM. Urinary tract infections during pregnancy. Obstet Gynecol Clin North Am. 2001;28(3):581591. PMID: 11512502Millar LK, DeBuque L, Wing DA. Uterine contraction frequency during treatment of pyelonephritis in pregnancy and subsequent risk of preterm birth. J Perinat Med. 2003;31(1):4146. DOI: 10.1515/JPM.2003.006Millar LK, DeBuque L, Wing DA. Uterine contraction frequency during treatment of pyelonephritis in pregnancy and subsequent risk of preterm birth. J Perinat Med. 2003;31(1):41-46. DOI: 10.1515/JPM.2003.006Graham JM, Oshiro BT, Blanco JD, Magee KP. Uterine contractions after antibiotic therapy for pyelonephritis in pregnancy. Am J Obstet Gynecol. 1993;168(2):577-580. DOI: 10.1016/0002-9378(93)90497-7Graham JM, Oshiro BT, Blanco JD, Magee KP. Uterine contractions after antibiotic therapy for pyelonephritis in pregnancy. Am J Obstet Gynecol. 1993;168(2):577-580. DOI: 10.1016/0002-9378(93)90497-7Cox SM, Shelburne P, Mason R, Guss S, Cunningham FG. Mechanisms of hemolysis and anemia associated with acute antepartum pyelonephritis. Am J Obstet Gynecol. 1991;164(2):587-590. DOI: 10.1016/s0002-9378(11)80027-xCox SM, Shelburne P, Mason R, Guss S, Cunningham FG. Mechanisms of hemolysis and anemia associated with acute antepartum pyelonephritis. Am J Obstet Gynecol. 1991;164(2):587-590. DOI: 10.1016/s0002-9378(11)80027-xZhang S, Liu G, Duo Y, Wang J, Li J, Li C. Application of Ureteroscope in Emergency Treatment with Persistent Renal Colic Patients during Pregnancy. PLoS One. 201611;11(1):e0146597. DOI: 10.1371/journal.pone.0146597Zhang S, Liu G, Duo Y, Wang J, Li J, Li C. Application of Ureteroscope in Emergency Treatment with Persistent Renal Colic Patients during Pregnancy. PLoS One. 201611;11(1):e0146597. DOI: 10.1371/journal.pone.0146597Guidelines on Urological Infections. In: European Association of Urology Guidelines. Bonkat G, Pickard R, Bartoletti R, Cai T, Bruyère F, Geerlings SE, Köves B, Schubert S, Wagenlehner F, Mezei T, Pilatz A, Pradere B, Veeratterapillay R. EAU Guidelines. Edn. presented at the EAU Annual Congress Barcelona, EAU Guidelines Office, Arnhem, The Netherlands, 2019. ISBN 978-94-92671-01-1. Доступно по: https://uroweb.org/wp-content/uploads/EAU-Guidelines-on-Urological-infections-2019.pdf Ссылка активна на 30.06.2019.Guidelines on Urological Infections. In: European Association of Urology Guidelines. Bonkat G, Pickard R, Bartoletti R, Cai T, Bruyère F, Geerlings SE, Köves B, Schubert S, Wagenlehner F, Mezei T, Pilatz A, Pradere B, Veeratterapillay R. EAU Guidelines. Edn. presented at the EAU Annual Congress Barcelona, EAU Guidelines Office, Arnhem, The Netherlands, 2019. ISBN 978-94-92671-01-1. Available at: https://uroweb.org/wp-content/uploads/EAU-GuidelinesonUrological-infections-2019.pdf Accessed June 30, 2019.Johnson EK. Urinary tract infections in pregnancy. Доступно по: https://emedicine.medscape.com/article/452604-overview Ссылка активна на 30.06.2019.Johnson EK. Urinary tract infections in pregnancy. Available at: https://emedicine.medscape.com/article/452604-overview Accessed June 30, 2019.Kroovand RL. Stones in pregnancy. In: Coe FL, Favus MJ, Pak CYC, Parks JH, Preminger GM, eds. Kidney Stones: Medical and Surgical Management. Philadelphia: Lippincott-Raven Publishers; 1996:1059-1064.Kroovand RL. Stones in pregnancy. In: Coe FL, Favus MJ, Pak CYC, Parks JH, Preminger GM, eds. Kidney Stones: Medical and Surgical Management. Philadelphia: Lippincott-Raven Publishers; 1996:1059-1064.EAU Guidelines on Urolithiasis. In: European Associati on of Urology Guidelines. Türk C, Neisius A, Petrik A, Seitz C, Skolarikos A, Thomas K. EAU Guidelines. Edn. presented at the EAU Annual Congress Barcelona, EAU Guidelines Offi ce, Arnhem, The Netherlands, 2019. ISBN 978-94-92671-04-2.EAU Guidelines on Urolithiasis. In: European Associati on of Urology Guidelines. Türk C, Neisius A, Petrik A, Seitz C, Skolarikos A, Thomas K. EAU Guidelines. Edn. presented at the EAU Annual Congress Barcelona, EAU Guidelines Offi ce, Arnhem, The Netherlands, 2019. ISBN 978-94-92671-04-2.Доступно по: https://uroweb.org/wp-content/uploads/EAU-Guidelines-on-Urolithiasis-2019.pdf Ссылка активна на 30.06.2019.Available at: https://uroweb.org/wp-content/uploads/EAU-Guidelines-on-Urolithiasis-2019.pdf Accessed June 30, 2019.Ishii H, Aboumarzouk OM, Somani BK. Current status of ureteroscopy for stone disease in pregnancy. Urolithiasis. 2014;42(1):1-7. DOI: 10.1007/s00240-013-0635-yIshii H, Aboumarzouk OM, Somani BK. Current status of ureteroscopy for stone disease in pregnancy. Urolithiasis. 2014;42(1):1-7. DOI: 10.1007/s00240-013-0635-yTeleb M, Ragab A, Dawod T, Elgalaly H, Elsayed E, Sakr A, Abdelhameed A, Maarouf A, Khalil S. Definitive ureteroscopy and intracorporeal lithotripsy in treatment of ureteral calculi during pregnancy. Arab J Urol. 2014;12(4):299-303. DOI: 10.1016/j.aju.2014.08.005Teleb M, Ragab A, Dawod T, Elgalaly H, Elsayed E, Sakr A, Abdelhameed A, Maarouf A, Khalil S. Definitive ureteroscopy and intracorporeal lithotripsy in treatment of ureteral calculi during pregnancy. Arab J Urol. 2014;12(4):299-303. DOI: 10.1016/j.aju.2014.08.005Bayar G, Bozkurt Y, Acinikli H, Dagguli M, Cakmak S, Nuri Bodakci M, Kemal Hatipoglu N, Tanriverdi O. Which treatment method should be used in pregnant patients with ureteral calculi? Two center comparative study. Arch Esp Urol. 2015;68(4):435-440. PMID: 26033764Bayar G, Bozkurt Y, Acinikli H, Dagguli M, Cakmak S, Nuri Bodakci M, Kemal Hatipoglu N, Tanriverdi O. Which treatment method should be used in pregnant patients with ureteral calculi? Two center comparative study. Arch Esp Urol. 2015;68(4):435-440. PMID: 26033764Франк М.А. Острый гестационный пиелонефрит: патогенетические аспекты, диагностика и лечение: Дис. … док. мед. наук. Москва; 2009. Доступно по: http://medicaldiss.com/medicina/ostryy-gestatsionnyy-pielonefritpatogeneticheskie-aspekty-diagnostika-i-lechenie Ссылка активна на 30.06.2019.Frank MA. Ostryj gestacionnyj pielonefrit: patogeneticheskie aspekty, diagnostika i lechenie. [Acute gestational pyelonephritis: pathogenetic aspects, diagnosis and treatment] [Thesis]. Moscow; 2009. Available at: http://medical-diss.com/medicina/ostryy-gestatsionnyy-pielonefritpatogeneticheskie-aspekty-diagnostika-i-lechenie Accessed June 30, 2019. (In Russ.)

The authors declare that there are no conflicts of interest present.