Mp40-20 Does Kidney Stone Treatment Impact Subsequent Obstetric Outcomes? Analysis of a Contemporary Nationwide Cohort

You have accessJournal of UrologyStone Disease: Epidemiology & Evaluation I (MP40)1 May 2024MP40-20 DOES KIDNEY STONE TREATMENT IMPACT SUBSEQUENT OBSTETRIC OUTCOMES? ANALYSIS OF A CONTEMPORARY NATIONWIDE COHORT Morgan Sturgis, Jamie Yoon, Daniel Roadman, Antonio Franco, and Ephrem Olweny Morgan SturgisMorgan Sturgis , Jamie YoonJamie Yoon , Daniel RoadmanDaniel Roadman , Antonio FrancoAntonio Franco , and Ephrem OlwenyEphrem Olweny View All Author Informationhttps://doi.org/10.1097/01.JU.0001008788.18007.3f.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Nephrolithiasis during pregnancy are associated with an increased risk of maternal complications, but little is known about the risk of obstetric complications after nephrolithiasis treatment. We evaluated the association between upper tract stone (UTS) treatment and obstetric outcomes of pregnancies occurring within 2 years of treatment. METHODS: Adults of childbearing age (18-52) treated for UTS in 2010 - 2021, who achieved pregnancy within 2 years of diagnosis +/- treatment, were identified from a nationwide all-payer claims database (PearlDiver-Mariner). UTS interventions and obstetric complications were identified using the appropriate ICD 9/10 and CPT codes. UTS interventions were categorized as operative (URS, PCNL, SWL, open/laparoscopic/robotic, ancillary procedures) vs non-operative. Associations between UTS intervention and obstetric complications were evaluated with uni- and multivariable analyses. RESULTS: 139,759 patients who met inclusion criteria were identified; 113,604 (81.3%) were managed nonoperatively. URS was the most common operation (70.6%). Overall obstetric complication rate was 19.6%; 19.3% for those undergoing non-operative vs 20.6% operative management (p<0.0001, Table 1). Compared with complication rates for non-operative management, those for URS and ancillary procedures were significantly greater (p<0.0001, Table 2), while those for other surgical modalities were statistically similar. CCI, region, and later years were associated with increased complication rates when comparing surgical vs non-surgical outcomes (Table 3). CONCLUSIONS: Our findings suggest that operative intervention for UTS prior to pregnancy, particularly by URS and ancillary procedures, may increase the risk of obstetric complications. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e672 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Morgan Sturgis More articles by this author Jamie Yoon More articles by this author Daniel Roadman More articles by this author Antonio Franco More articles by this author Ephrem Olweny More articles by this author Expand All Advertisement PDF downloadLoading ...