THE COMPARISON OF CONSERVATIVE TREATMENT AND DOUBLE J STENT INSERTION IN GESTATIONAL HYDRONEPHROSIS

Background: To compare the pregnancy outcomes of patents determined with gestational hydronephrosis and treated with a conservative approach or Double J Stent (DJS) application. Method: The study included 113 patients diagnosed with gestational hydronephrosis at a university hospital between January 2011 and January 2014. Of the 113 patients, DJS was applied to 51 and a conservative approach was applied to 62 patients. A comparison was made of the pregnancy outcomes in both treatment arms. Results: No significant difference was determined between the patients in the DJS application group and the patients in the conservative treatment group in respect of age, gravida, parity, gestational week at the time of diagnosis, gestational week at birth, and renal calyx diameter. Although a higher rate of births was determined in the first 24 hours and the first week after placement of DJS in DJS group compared to control group, the difference was not statistically significant. None of the patients in the control group required DJS insertion during the follow-up period. Conclusion: In patients with gestational hydronephrosis, if conservative treatment is first tried, if the patient cannot overcome the symptoms and complications are present, DJS should be inserted.