Effect of paracentesis of ascitic fluids on urinary output and blood indices in patients with severe ovarian hyperstimulation syndrome

Ishai Levin, Benny Almog, Amiram Avni, Amiram Baram, Joseph B. Lessing, Ronni Gamzu

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To determine the isolated effect of abdominal paracentesis of ascitic fluid in women with severe OHSS on urine production and blood indices. Design: Retrospective interventional study. Setting: Gynecology department at the Lis Maternity Hospital, affiliated to Tel Aviv University. Patient(s): Thirty women with severe OHSS. Intervention(s): Abdominal paracentesis according to clinical indications. Main Outcome Measure(s): Urinary output, blood urea nitrogen, as well as a complete blood count were measured before and following the procedure. Result(s): Urinary output increased from 1890 ± 128 mL per 24 hours on the day before paracentesis to 2,660 ± 226 mL per 24 hours after the procedure. Blood urea nitrogen values were 8.9 ± 0.56 mg/dL and 7.8 ± 0.53 mg/dL on the days before and after paracentesis, respectively. White blood cell count decreased from 15.4 ± 1.1 (× 103 cells/mm3) on the days before the paracentesis to 13.3 ± 0.9 (× 103 cells/mm3) after the procedure. Hematocrit was reduced significantly from 35.2 ± 1.0% before the paracentesis to 33.4 ± 0.8% after paracentesis. Conclusion(s): Paracentesis of ascitic fluids in women with severe OHSS has an isolated effect in improving renal function, as is evident by the increased urinary output and reduced blood urea nitrogen.

Original languageEnglish
Pages (from-to)986-988
Number of pages3
JournalFertility and Sterility
Volume77
Issue number5
DOIs
StatePublished - 2002
Externally publishedYes

Keywords

  • Ovarian hyperstimulation
  • Paracentesis
  • Renal function

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