This protocol applies to patients with urinary stone disease who are pregnant. Managing kidney stones during pregnancy requires balancing maternal symptom relief against fetal safety, with specific interventions either preferred, restricted, or absolutely contraindicated in this population.
Conservative management is the preferred initial approach for symptomatic hydronephrosis and ureteric calculi in pregnant patients. Intervention is reserved for cases where conservative measures are insufficient or complications arise.
When conservative management fails or complications develop, procedural decompression options are available. Endoscopic intervention may also be considered under specific circumstances and timing. At least one stone-fragmentation modality carries an absolute contraindication in pregnancy. The full sequencing, criteria, and procedural details are contained in the complete protocol.