Treatment of ureteral stones in pregnant women

Ureteral problems in pregnant women are closely related to our reproduction and affect our daily sex life. If there is a problem with the urethra, our physical health will be greatly reduced. It will also affect the quality of our sex life and bring a series of problems to the harmony of our couples and families. Many people want to cure this problem. I believe that many people don’t know much about the treatment of this problem. Let us learn about the treatment methods of ureteral stones in pregnant women.

1. General treatment

(1) Drinking plenty of water may help push and flush small stones out with large amounts of urine. Increased urine output can also help control infection.

(2) Antispasmodic and analgesic M-type cholecystokinin receptor blockers can relax ureteral smooth muscles and relieve spasms. The usual dose is 20 mg. Intramuscular injection of progesterone can inhibit the contraction of smooth muscle and relieve spasm, and has a certain effect on pain relief and stone removal. The calcium channel blocker nifedipine has a certain effect on relieving renal colic. Alpha receptor blockers have a certain effect in relieving ureteral smooth muscle spasm and treating renal colic.

(3) Control infection. Urinary tract obstruction caused by stones is prone to infection, and magnesium ammonium phosphate stones often form in infected urine. This vicious cycle makes the condition worse. In addition to actively removing stones to relieve obstruction, antibiotics should be used to control or prevent urinary tract infections.

2. Treatment according to the cause of the different components

(1) Hypercalciuria ① Primary hypercalciuria can be treated with thiazides and potassium citrate. In addition to thiazides and potassium citrate, patients with absorptive hypercalciuria who cannot tolerate these drugs need to use sodium cellulose phosphate. Those with hypophosphatemia need to use orthophosphate instead. ② Actively treat associated diseases of hypercalcemia. When hypercalcemia crisis occurs, emergency treatment is required. First, use normal saline to expand the volume as quickly as possible, and use loop diuretics such as furosemide to increase urinary calcium excretion; bisphosphonates are mainly used to treat hypercalcemia, which can effectively inhibit osteoclast activity and reduce bone reabsorption. Surgical removal of the parathyroid glands is the treatment of choice for patients with primary hyperparathyroidism and symptomatic hypercalcemia or asymptomatic nephrolithiasis. When patients have symptomatic or obstructive renal stones in the absence of a hypercalcemic crisis, treat the stones first.

(2) Renal tubular acidosis is mainly treated with alkaline drugs to slow down stone growth and new stone formation and correct metabolic disorders.

(3) Hyperoxaluria Primary hyperoxaluria is difficult to treat. Vitamin B6 can be tried, starting with a small dose and increasing the dose as the effect decreases. At the same time, drink plenty of water and limit foods rich in oxalate, which can reduce the oxalate level in urine to normal.

(4) For high uric acid, low-purine foods and drinking plenty of water can reduce the concentration of uric acid in urine.

The above content introduces us to the problem of ureteral stones in pregnant women. I believe that everyone has more or less some understanding of it. We can provide some guiding suggestions for patients with ureteral stones around us. Only by helping others can we make ourselves happy.