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Retroperitoneoscopic nephrectomy for giant hydronephrosis in pregnancy

Nature Clinical Practice Urology volume 4, pages 512–515 (2007)Cite this article

Abstract

Background A 32-year-old primiparous woman presented with a painful left-sided giant hydronephrotic kidney secondary to pelvi-ureteric junction obstruction (PUJO).

Investigations Renal ultrasonography, intravenous urography and MAG-3 renography.

Diagnosis Symptomatic non-functioning left PUJO in first trimester.

Management Following counselling, the patient had an uncomplicated retroperitoneoscopic nephrectomy at 9 weeks' gestation for symptom relief and to prevent future risks to both mother and fetus during the remainder of the pregnancy. She had an uneventful recovery and delivered a healthy 3.2 kg male at term per vaginum.

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Figure 1: Intravenous urograph
Figure 2: MAG-3 renogram

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Authors and Affiliations

  1. H Mastoroudes is a Senior House Officer in obstetrics and gynecology, J Olsburgh is a Consultant Transplant and Urological Surgeon, K Harding is a Consultant Obstetrician, and P Dasgupta is a Consultant and Honorary Reader in Urology at Guy's and St Thomas' NHS Foundation Trust, London, UK.,

    Heleni Mastoroudes, Jonathon Olsburgh, Kate Harding & Prokar Dasgupta

Authors
  1. Heleni Mastoroudes
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  2. Jonathon Olsburgh
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  3. Kate Harding
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  4. Prokar Dasgupta
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Corresponding author

Correspondence to Prokar Dasgupta.

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The authors declare no competing financial interests.

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Mastoroudes, H., Olsburgh, J., Harding, K. et al. Retroperitoneoscopic nephrectomy for giant hydronephrosis in pregnancy. Nat Rev Urol 4, 512–515 (2007). https://doi.org/10.1038/ncpuro0906

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