Publication:

Surgical management of symptomatic right ureteric calculus in a pregnant woman with moderate hydroureteronephrosis

Renal and ureteric calculi are relatively uncommon during pregnancy, often posing significant diagnostic and management challenges. This due to the physiological changes of pregnancy and need for fetal safety. We present a case involving a 30-year-old woman G4P2L2MTP1 at 21+5 weeks gestation presenting with a symptomatic right proximal ureteric calculus and right moderate hydroureteronephrosis. We opted for surgical intervention via ureteroscopy and Double-J (DJ) stenting as conservative efforts failed to prevent the risk of urosepsis. Post procedure antenatal care was uneventful, a healthy infant was delivered via emergency caesarean section at 36+1 weeks with the stent in situ, followed by successful removal of DJ stent 6 weeks postpartum. This case highlights the necessity of timely intervention and successful collaborative efforts of obstetric and urological teams.