urological problems during pregnancy

Summary: Numerous changes occur in the renal system during normal pregnancy. These are anatomical and functional changes occur in the urinary tract. During pregnancy, lower urinary tract function is altered considerably in many women. Normal function apparently returns for most women soon after delivery. It is unclear whether the presence of urinary incontinence during pregnancy is a marker for future development of other pelvic floor disorders and perhaps should lead to consideration of cesarean delivery or perhaps early postpartum rehabilitation of the pelvic floor to prevent those disorders. Certain precautions should be taken when investigating pregnant to avoid teratogenic effect of radiation, Women should be counseled that radiograph exposure from a single diagnostic procedure does not result in harmful fetal effects. Specifically, exposure to less than 5 rad has not been associated with an increase in fetal anomalies or pregnancy loss . U’I’Is are common complications of pregnancy and may lead to <significant morbidity for both mother and fetus. During pregnancy, ASB is the major risk factor for developing a symptomatic UTI. Screening and treatment of pregnant women for ASB may prevent morbidity associated with symptomatic U’TIs. Bacteriuria should be treated with short-course therapy with appropriate antimicrobials. Women should be followed closely after treatment of bacteriuria because recurrence may occur in up to one third of patients. 83