COMPARATIVE EFFICACY OF DOUBLE J STENTING AND CONSERVATIVE MANAGEMENT IN THE TREATMENT OF ANTENATAL HYDRONEPHROSIS

Abstract

Objective:
To compare the efficacy of double J (DJ) stenting and conservative management in treating antenatal hydronephrosis.

Methodology:
Over a six-month period, we performed a randomized controlled trial at the Urology Department of Lady Reading Hospital in Peshawar. The study included 154 pregnant women identified as having antenatal hydronephrosis, which were randomly splitted into two groups.Group A (n=77)was treated with DJ stenting, while Group B (n=77)received conservative treatment. The starting patient characteristics were alike in both groups. Success was determined by the reduction of symptoms and positive changes on ultrasound after one week of treatment. We analyzed the data using SPSS version 22, using either the chi-square or Fisher’s exact test. The level of statistical importance was set at p ≤ 0.05.

Results:
The DJ stenting group had a greater success rate (96%) than the conservative group (81%) (p < 0.05). Further analysis showed that age, gestational age, parity, pain duration, affected kidney side, and calyceal diameter did not have an impact on how well the treatments worked.

Conclusion:
For antenatal hydronephrosis, DJ stenting works better than just watching and waiting, especially if patients have symptoms or ongoing blockages. Mild cases might get better on their own, but if they don't, DJ stenting should be an option