The Management of Urological Emergencies During Pregnancy
Osman Suliman *
Department of Clinical Sciences, College National of Medicine, Al-Rayan National Colleges, Al-Madinah, Saudi Arabia.
Nawal Mohammed
Department of Clinical Sciences, College National of Medicine, Al-Rayan National Colleges, Al-Madinah, Saudi Arabia.
Faris Almahdi
Department of Basic Sciences, College National of Medicine, Al-Rayan National Colleges, Al-Madinah, Saudi Arabia.
Sara Altom
Department of Basic Sciences, College National of Medicine, Al-Rayan National Colleges, Al-Madinah, Saudi Arabia.
Ibrahim Hassan
Department of Basic Sciences, College National of Medicine, Al-Rayan National Colleges, Al-Madinah, Saudi Arabia.
Emad Alsaedi
Department of Internal Medicine, King Salman Bin Abdulaziz Medical City, AlMadinah, Saudi Arabia.
Riham Abd Elmagid
Faculty of Medicine, Helwan University, Cairo, Egypt.
Rana Abd Elmagid
Faculty of Medicine, Helwan University, Cairo, Egypt.
*Author to whom correspondence should be addressed.
Abstract
Urological emergencies during pregnancy, though rare, can pose significant risks to both maternal and fetal health. Because of changes in the body during pregnancy, conditions like urinary tract infections (UTIs), pyelonephritis, nephrolithiasis, hydronephrosis, and obstructive uropathy need to be carefully managed. This systematic review aims to evaluate the management strategies, diagnostic challenges, and clinical outcomes associated with urological emergencies in pregnant women. We analyze various diagnostic techniques, including ultrasound and MRI, as well as treatment options, with a focus on ensuring maternal and fetal safety. Our findings highlight the importance of a multidisciplinary approach and suggest recommendations for improving clinical practices in managing these emergencies. The review concludes with a call for standardized guidelines and further research into the long-term outcomes for both mother and fetus. In addition to the early intervention especially fetal minor invasive procedures would enhance its clinical relevance and impact.
Keywords: Urinary Tract Infections (UTIs), ultrasound, MRI, fetal safety, uropathy