Management of suspected kidney stones in pregnancy

Thank you for participating in our survey on the management of suspected kidney stones in pregnancy

We are conducting research on the management of suspected kidney stone disease during pregnancy.

How are these patients best diagnosed and managed? Is there consensus on surgical intervention?

Your participation in this survey is voluntary and all responses are anonymous. The survey should take less than 5 minutes. The survey is targeted at practicing urologists and urology residents.

If you have any questions regarding the survey, please send an email to jonesurology@gmail.com

We would really appreciate your input,

Professor Bhaskar Somani
University Hospital Southampton

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* 1. On which continent do you practice ?

Africa

Asia

Europe

North America

South America

Australia

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* 2. What is your gender ?

Male

Female

Other

Prefer not to say

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* 3. What is your job role in urology?

Resident in urology/surgery

Certified urologist

Certified urologist with specialist interest in Endourology

Other (please specify)

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* 4. For how long have you practiced urology ?

I am a resident in urology

0-5 years

6-10 years

11-20 years

>20 years

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* 5. What kind of hospital do you work in?

Non-teaching/community hospital

Teaching hospital

University Hospital

Private clinic

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* 6. What is the estimated cases of pregnancy with suspected renal/ureteric stones that you have seen in the last 12 months?

None

1-2

3-5

6-10

>10

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* 7. Does your hospital have an established management protocol for pregnant patients with suspected renal/ureteric stones?

Yes

I am not sure

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* 8. What is your preferred imaging choice for these patients?

Please rank in order of preference

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* 9. In practice, is it actually possible in your hospital to acquire an acute MRI for a pregnant patient with suspected stones?

Yes

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* 10. Have you ever requested a CT (non contrast) for a pregnant patient with suspected renal/ureteric stones ?

Yes

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* 11. Which of the following would you recommend in a case of persistent pain and where the ultrasound is not helpful?

CT (non contrast)

Ureteroscopy

Decompression (i.e., DJ-stenting or percutaneous nephrostomy)

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* 12. In practice, would you consider obtain transvaginal ultrasound if
transabdominal/retroperitoneal ultrasound is non-diagnostic?

Yes

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* 13. How long would you observe before performing an intervention in cases of persistent pain?

Up to 12 hours

12-24 hours

24-48 hours

48-72 hours

>72 hours

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* 14. When adopting drainage for persistent pain, would you recommend DJ stent or percutaneous nephrostomy?

DJ stent

percutaneous nephrostomy

Both are equally effective

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* 15. If drainage performed, how often do you change the stent/nephrostomy tube in a pregnant patient?

Every 4 weeks

Every 6 weeks

Every 8 weeks

Every 12 weeks

Other (please specify)

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* 16. Guidelines state that PCNL is not absolutely contraindicated in pregnancy, have you ever performed PCNL during pregnancy?

Yes

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* 17. Do you normally have fetal heart rate monitoring during any surgical intervention for a pregnant patient?

Yes

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* 18. Would you perform ureteroscopy in the following trimesters?

Please check all boxes that apply:

1st trimester (weeks 1–12)

2nd trimester (weeks 13–26)

3rd trimester (weeks 27–40)

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* 19. Which of the following do you use during stent placement and/or ureteroscopy?

Limited fluoroscopy only

Ultrasound only

Limited fluoroscopy + ultrasound

None

Management of suspected kidney stones in pregnancy

Thank you for participating in our survey on the management of suspected kidney stones in pregnancy

Question Title

* 1. On which continent do you practice ?

Question Title

* 2. What is your gender ?

Question Title

* 3. What is your job role in urology?

Question Title

* 4. For how long have you practiced urology ?

Question Title

* 5. What kind of hospital do you work in?

Question Title

* 6. What is the estimated cases of pregnancy with suspected renal/ureteric stones that you have seen in the last 12 months?

Question Title

* 7. Does your hospital have an established management protocol for pregnant patients with suspected renal/ureteric stones?

Question Title

* 8. What is your preferred imaging choice for these patients? Please rank in order of preference

Question Title

* 9. In practice, is it actually possible in your hospital to acquire an acute MRI for a pregnant patient with suspected stones?

Question Title

* 10. Have you ever requested a CT (non contrast) for a pregnant patient with suspected renal/ureteric stones ?

Question Title

* 11. Which of the following would you recommend in a case of persistent pain and where the ultrasound is not helpful?

Question Title

* 12. In practice, would you consider obtain transvaginal ultrasound if transabdominal/retroperitoneal ultrasound is non-diagnostic?

Question Title

* 13. How long would you observe before performing an intervention in cases of persistent pain?

Question Title

* 14. When adopting drainage for persistent pain, would you recommend DJ stent or percutaneous nephrostomy?

Question Title

* 15. If drainage performed, how often do you change the stent/nephrostomy tube in a pregnant patient?

Question Title

* 16. Guidelines state that PCNL is not absolutely contraindicated in pregnancy, have you ever performed PCNL during pregnancy?

Question Title

* 17. Do you normally have fetal heart rate monitoring during any surgical intervention for a pregnant patient?

Question Title

* 18. Would you perform ureteroscopy in the following trimesters? Please check all boxes that apply:

Question Title

* 19. Which of the following do you use during stent placement and/or ureteroscopy?

* 8. What is your preferred imaging choice for these patients?

Please rank in order of preference

* 12. In practice, would you consider obtain transvaginal ultrasound if
transabdominal/retroperitoneal ultrasound is non-diagnostic?

* 18. Would you perform ureteroscopy in the following trimesters?

Please check all boxes that apply: