Revista da Associacao Medica Brasileira
The role of hematological parameters and systemic immune-inflammation index in the management of symptomatic gestational hydronephrosis
By Sungur U, Toksal K, Sungur GŞ and 4 others.
Abstract
Objective
The aim of this study was to investigate the clinical, imaging, and hematological parameters predicting the necessity of surgical intervention in pregnant women presenting with symptomatic gestational hydronephrosis.
Methods
We retrospectively evaluated 192 pregnant women diagnosed with symptomatic hydronephrosis between January 2015 and September 2024. Patients were divided into Group 1 (conservative management, n=138) and Group 2 (surgical intervention via double-J stent or percutaneous nephrostomy, n=54). Demographic data, clinical findings, degree of hydronephrosis, urinalysis, and complete blood count parameters-including C-reactive protein, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and systemic immune-inflammation index-were compared. Logistic regression analysis was performed to identify predictors for surgery.
