Drainage of the upper urinary tract in the treatment of acute gestational pyelonephritis
https://doi.org/10.17021/2712-8164-2024-4-20-27
Abstract
Acute gestational pyelonephritis is a common pathology that often complicates the course of pregnancy. The disease develops against the background of characteristic changes in the urinary system that occur during pregnancy. Inflammatory kidney damage negatively affects the course of pregnancy and is accompanied by numerous of complications. The issues of treatment tactics for acute pyelonephritis have been developed in detail in terms of etiotropic antibacterial therapy, but there is no consensus on the need for drainage of the upper urinary tract. This paper presents our own experience in managing patients with acute gestational pyelonephritis, demonstrating the possibility and necessity of a differentiated approach when deciding on kidney drainage.
About the Authors
E. N. Sokolova
Astrakhan State Medical University; Clinical Hospital “RZhD-Medicine”
Russian Federation
Russian Federation
Ekaterina N. Sokolova, urologist
Astrakhan
F. R. Asfandiarov
Astrakhan State Medical University
Russian Federation
Russian Federation
Faik R. Asfandiyarov, Dr. Sci. (Med.), Professor, Head of the Department
V. A. Кruglov
Astrakhan State Medical University
Russian Federation
Russian Federation
Vladimir A. Kruglov, Cand. Sci. (Med.), Associate Professor of the Department
Astrakhan
K. S. Seidov
Astrakhan State Medical University
Russian Federation
Russian Federation
Kaflan S. Seidov, Cand. Sci. (Med.), Associate Professor of the Department
Astrakhan
References
1. Gilstrap L. C., Ramin S. M. Urinary tract infections during pregnancy. Obstetrics and Gynecology Clinics of North America. 2001; 28 (3): 581–591. PMID: 11512502.
2. Botashev M. I., Bayramkulov U. M., Uraskulov A. B., Semenov A. R., Korkmazov A. M. Peculiarities of treatment of acute pyelonephritis in pregnant women. Vestnik urologii = Bulletin of Urology. 2019; 7 (4): 29–34. doi: 10.21886/2308-6424-2019-7-4-29-34 (In Russ.).
3. Wing D. A., Fassett M. J., Getahun D. Acute pyelonephritis in pregnancy: an 18-year retrospective analysis. American Journal of Obstetrics & Gynecology. 2014; 210 (3): 219.e1‒6. doi: 10.1016/j.ajog.2013.10.006.
4. Nikonov A. P., Astsaturova O. R., Kaptilny V. A. Urinary tract infections and pregnancy. Ginekologiya = Gynecology. 2007; 9 (1): 38–40 (In Russ.).
5. Glaser A. P., Schaeff er A. J. Urinary Tract InfecTIon and Bacteriuria in Pregnancy. Urologic Clinics of North America. 2015; 42 (4): 547–560. doi: 10.1016/j.ucl.2015.05.004.
6. Sinyakova L. A., Loran O. B., Kosova I. V., Kolbasov D. N., Tsitsaev H. B. Choice of urinary tract drainage method in gestational pyelonephritis. Vestnik urologii = Bulletin of Urology. 2019; 7 (4): 35–42. doi: 10.21886/2308 6424-2019-7-4-35-42 (In Russ.).
7. Korobkov N. A., Iglovikov N. Yu., Protoshchak V. V., Babkin P. A., Popov S. I. The influence of urinary system pathology on the development of endometritis after cesarean section. Eksperimentalnaya i klinicheskaya urologiya = Experimental and Clinical Urology. 2023; 16 (4): 172–179. doi: 10.29188/2222-8543-2023-16-4-172-179 (In Russ.).
8. Frank M. A. Ostryy gestatsionnyy piyelonefrit: patogeneticheskiye aspekty, diagnostika i lechenie = Acute gestational pyelonephritis: pathogenetic aspects, diagnostics and treatment. Moscow; 2010. URL: http://medical diss.com/docreader/280823a#?page=1 (accessed: 18.10.2024) (In Russ.).
9. Kulchavenya E. V., Treyvish L. S., Telina E. V., Kholtobin D. P., Shevchenko S. Yu. Asymptomatic bacteriuria in pregnant women: is antibiotic therapy always justified? Eksperimentalnaya i klinicheskaya urologiya = Experimental and Clinical Urology 2023; 16 (3): 112–118. doi: 10.29188/2222-8543-2023-16-3-112-118 (In Russ.).
10. Kozak Yu. V., Kiseleva T. V., Pekarev O. G., Pozdnyakov I. M. Use of extracorporeal detoxification methods in the treatment of pregnant women with acute gestational pyelonephritis. Meditsina i obrazovaniye v Sibiri = Medicine and education in Siberia. URL: http://ngmu.ru/cozo/mos/article/text_full.php?id=591 (accessed: 18.10.2024) (In Russ.).
11. Shkodkin S. V. Gestational pyelonephritis: where to start? Vestnik urologii = Bulletin of Urology. 2019; 7 (3): 41–46. doi: 10.21886/2308-6424-2019-7-3-41-46 (In Russ.).
12. Kazemier B. M., Koningstein F. N., Schneeberger C., Ott A., Bossuyt P. M., de Miranda E., Vogelvang T. E., Verhoeven C. J., Langenveld J., Woiski M., Oudijk M. A., van der Ven J. E., Vlegels M. T., Kuiper P. N., Feiertag N., Pajkrt E., de Groot C. J., Mol B. W., Geerlings S. E. Maternal and neonatal consequences of treated and untreated asymptomatic bacteriuria in pregnancy: a prospective cohort study with an embedded randomised controlled trial. Lancet Infectious Diseases. 2015; 15 (11): 1324–1333. doi: 10.1016/S1473-3099(15)00070-5.
13. Cheung K., Lafayette R. A. Renal physiology of pregnancy. Advances in Chronic Kidney Disease. 2013: 20 (3): 209–214. URL: https://10.1053/j.ackd.2013.01.012.
14. Kogan M. I. Pyelonephritis during pregnancy (chief editor's opinion on the problem). Vestnik urologii = Bulletin of Urology. 2020; 8 (2): 5–9. doi: 10.21886/2308-6424-2020-8-2-5-9 (In Russ.).
15. Monakov D. M., Shaderkin I. A., Shaderkina V. A., Lokshin K. L. Ureterohydronephrosis in a pregnant woman: experience of remote drainage-free management. Eksperimentalnaya i klinicheskaya urologiya = Experimental and Clinical Urology. 2022; 15 (1): 162–169. doi: 10.29188/2222-8543-2022-15-1-162-169 (In Russ.).
16. Traut H. F., McLane C. M. Physiological changes in the ureter associated with pregnancy. Surgery, Gynecology and Obstetrics. 1934; 62: 65–71.
17. Sala N. L., Rubí R A. Ureteral function in pregnant woman. II: ureteral contractility during normal pregnancy. American Journal of Obstetrics & Gynecology. 1967; 99 (2): 228–236. doi: 10.1016/0002-9378(67)90324-9.
18. Shkodkin S. V. Is it necessary to drain the kidney in gestational pyelonephritis? Vestnik urologii = Bulletin of Urology. 2020; 8 (1): 49–54. doi: 10.21886/2308-6424-2020-8-1-49-54 (In Russ.).
19. Urologiya. Rossiyskiye klinicheskiye rekomendatsii = Urology. Russian clinical guidelines. Ed. by Yu. G. Alyayeva, P. V. Glybochko, D. Yu. Pushkarya. Moscow: Med-forum; 2018: 465 p. (In Russ.). 20. Guidelines on Urological Infections. URL: https://uroweb.org/wp-content/uploads/EAU-Guidelines-onUrological-infections-2019.pdf (accessed: 18.10.2024).
20. Levchenko V. V., Morgun P. P. Gestational pyelonephritis: modern drainage tactics. Vestnik urologii = Bulletin of Urology. 2019; 7 (3): 29–34. doi: 10.21886/2308-6424-2019-7-3-29-34 (In Russ.).
Review
For citations:
Sokolova E.N., Asfandiarov F.R., Кruglov V.A., Seidov K.S. Drainage of the upper urinary tract in the treatment of acute gestational pyelonephritis. Title. 2024;5(4):20-27. (In Russ.) https://doi.org/10.17021/2712-8164-2024-4-20-27
Views:
121
Email this article 