Pyelonephritis of Pregnant Women: Clinical Case
https://doi.org/10.21886/2308-6424-2020-8-1-55-58
Abstract
Pyelonephritis during pregnancy is a threat to the fetus and the pregnant woman. There are no studies showing the benefits of drainage management for pregnant women with pyelonephritis. Despite this, the drainage of the upper urinary tract is a tradition of a fairly large number of clinics. Guidelines for the duration of drainage in this category of patients are also not defined. Frequently, drainage is removed after delivery. And this is the «standard» in clinical practice. The negative side of this approach is persistent drainage infection, obstruction, and the need for frequent drainage changes. The article presents the clinical observations of patients with early removal of urinary drainage, which made it possible to stop bacteriuria and inflammatory changes in the urine.
About the Authors
S. V. Shkodkin
Belgorod Regional Clinical Hospital of St. Joasaph; Belgorod National Research University
Russian Federation
Russian Federation
Sergey V. Shkodkin — M.D., Dr. Sc. (M), Assoc. Prof. (Docent); Prof., Dept. of Hospital Surgery, Medical Institute; Urologist, Urological Division
Yu. B. Idashkin
Belgorod Regional Clinical Hospital of St. Joasaph
Russian Federation
Yuri B. Idashkin — M.D.; Urologist, Urological Division
Russian Federation
Yuri B. Idashkin — M.D.; Urologist, Urological Division
References
1. Sinyakova L.A., Loran O.B., Kosova I.V., Kolbasov D.N., Tsitsaev H.B. Urinary Tract Drainage Selection in Case of Pyelonephritis in Pregnant Women. Urology Herald. 2019;7(4):35‒42. (In Russ.). https://doi.org/10.21886/2308-6424-2019-7-4-35-42
2. Levchenko V.V., Morgun Р.P. Pyelonephritis in Pregnancy: modern draining tactics. Urology Herald. 2019;7(3):29‒34. (In Russ.). https://doi.org/10.21886/2308-6424-2019-7-3-29-34
3. Kurbanaliev H.R., Chernetsova G.S. Pyelonephritis pregnant women. The modern view on the problem of urogynecologic (Review). Vestnik Kyrgyzsko-Rossijskogo Slavjanskogo universiteta. 2017;17(7):33‒36. (In Russ.). eLIBRARY ID: 29816649
4. Lokshin K.L. Upper urinary tract draining in acute gestational pyelonephritis: What for? When? For how long? Urology Herald. 2019;7(3):35‒40. (In Russ.). https://doi.org/10.21886/2308-6424-2019-7-3-35-40
5. Resim S, Ekerbicer HC, Kiran G, Kilinc M. Are changes in urinary parameters during pregnancy clinically significant? Urol Res. 2006;34(4):244‒248. https://doi.org/10.1007/s00240-006-0051-7
6. Somani BK, Dellis A, Liatsikos E, Skolarikos A. Review on diagnosis and management of urolithiasis in pregnancy: an ESUT practical guide for urologists. World J Urol. 2017;35(11):1637‒1649. https://doi.org/10.1007/s00345-017-2037-1
7. Pedro RN, Das K, Buchholz N. Urolithiasis in pregnancy. Int J Surg. 2016;36(Pt D):688‒692. https://doi.org/10.1016/j.ijsu.2016.10.046
8. Semins MJ, Matlaga BR. Management of stone disease in pregnancy Curr. Opin. Urol. 2010;20(2):174‒177. https://doi.org/10.1097/MOU.0b013e3283353a4b
9. Shkodkin S.V. Pyelonephritis in pregnant women: where to start? Urology Herald. 2019;7(3):41‒46. (In Russ.). https://doi.org/10.21886/2308-6424-2019-7-3-41-46
10. Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell- Walsh Urology, 10th ed. Section 9. Upper urinary tract and trauma. Netherlands: Elsevier; 2012.
Review
For citations:
Shkodkin S.V., Idashkin Yu.B. Pyelonephritis of Pregnant Women: Clinical Case. Urology Herald. 2020;8(1):55-58. (In Russ.) https://doi.org/10.21886/2308-6424-2020-8-1-55-58
Views:
3334
Email this article 
