Drainage of the Upper Urinary Tract in the Treatment of Acute Gestational Pyelonephritis

Acute gestational pyelonephritis is a common pathology that often complicates the course of pregnancy. The disease develops against the background of characteristic changes in the urinary system that occur during pregnancy. Inflammatory kidney damage negatively affects the course of pregnancy and is accompanied by numerous of complications. The issues of treatment tactics for acute pyelonephritis have been developed in detail in terms of etiotropic antibacterial therapy, but there is no consensus on the need for drainage of the upper urinary tract. This paper presents our own experience in managing patients with acute gestational pyelonephritis, demonstrating the possibility and necessity of a differentiated approach when deciding on kidney drainage.