Fetal Surgery for Posterior Urethral Valves: Long-Term Postnatal Outcomes

Fetal surgery for posterior urethral valves: long-term postnatal outcomes.

OBJECTIVE Fetal intervention for obstructive uropathy was first performed at the University of California, San Francisco in 1981. Indications for treatment were bilateral hydronephrosis with oligohydramnios. Preintervention criteria included fetal urinary electrolytes with beta-microglobulin levels, karyotyping, and detailed sonography specifically looking for renal cortical cysts. We reviewed ...

Posterior Urethral Valves

Posterior Urethral Valves

The most common cause of lower urinary tract obstruction in male infants is posterior urethral valves. Although the incidence has remained stable, the neonatal mortality for this disorder has improved due to early diagnosis and intensive neonatal care, thanks in part to the widespread use of prenatal ultrasound evaluations. In fact, the most common reason for the diagnosis of posterior urethral...

Current Practice Posterior urethral valves

Posterior urethral valves (PUV) are the commonest cause of bladder outlet obstruction in children. With improvement of primary health care and widespread use of ultrasonography during antenatal check-up, early diagnosis of PUV has increased. The first description of PUV was made in 1919 by Hugh Hampton Young 1 . PUV represents a spectrum of severity, ranging from disease incompatible with postn...

Posterior Urethral Valves in Neonate

(This section is meant for residents to check their understanding regarding a particular topic) QUESTIONS