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  • Title: Placement of ureteral stents in pregnancy using ultrasound guidance.
    Author: Fabrizio MD, Gray DS, Feld RI, Bagley DH.
    Journal: Tech Urol; 1996; 2(3):121-5. PubMed ID: 9118418.
    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.
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