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Do you make any changes to surveillance imaging frequency, 24 hour urine stone risk collection frequency, and stone preventative medication approaches for patients with recurrent nephrolithiasis who become pregnant?

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Mednet Member
Mednet Member
Nephrology · Mayo Clinic

Pregnancy is a lithogenic state. Stone passages peak in the second trimester.

I avoid imaging that involves radiation. I monitor with ultrasound. I prefer to withdraw prescription medication and manage stone disease with diet and fluid therapy. Certainly, there are exceptions to this rule. Encouragi...

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Mednet Member
Mednet Member
Nephrology · U Chicago

I agree and try conservative management with sodium restriction and if an oxalate stone former encourage low oxalate diet. Try to manage fluids and only do ultrasounds and generally will get a Litholink in the 2nd trimester.

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