Prenatal Intervention for Lower Urinary Tract Obstruction

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Prenatal Intervention for Lower Urinary Tract Obstruction

Hydronephrosis is one of the most common abnormalities detected on routine prenatal ultrasounds, being noted in up to 1% of fetuses. Rarely, severe hydronephrosis coexists with oligohydramnios, which portends a poor prognosis. We review the most recent literature on the results of prenatal intervention in this setting. Presently, the first randomized controlled trial to address whether prenatal...

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Lower Urinary Tract Obstruction

Lower urinary tract obstruction is defined as partial or complete obstruction of the urinary tract at the level of the urethra and the bladder. The posterior urethral valves are the most common cause, 9 percent of the fetal uropathies. The incidence range is wide, because of different databases show different populations. The most severe obstructive uropathy is in patients with kidney damage, o...

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Lower urinary tract obstruction (LUTO) – prenatal intervention and long term outcome

Lower urinary tract obstruction in foetuses carries an untreated high rate of mortality. Ultrasound antenatal examination allows to introduce treatment in utero. Authors describe different therapeutics options and emphasize necessity of proper qualification to prenatal procedures. The role of antenatal therapy in LUTO was evaluated.

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Prenatal intervention for urinary obstruction and myelomeningocele.

Widespread use of ultrasonography has resulted in an increase in the recognition of fetal hydronephrosis. The enthusiasm that accompanied early interventions has been tempered by the experience and results obtained over the past 2 decades. The goal has remained the same: to identify patients with serious prenatal obstruction and to identify those which may benefit from intervention. Myelomening...

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Fetal Lower Urinary Tract Obstruction: An Update

Fetal lower urinary tract obstruction [LUTO] represents a rare, heterogeneous group of uropathies involving mechanical or functional blockage at the bladder outlet of varying severity. While ultrasound is a fair screening tool for the antenatal detection of this condition, it cannot reliably determine the underlying etiology of LUTO presentations. Sonographic assessment of renal appearance and ...

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ژورنال

عنوان ژورنال: The Scientific World JOURNAL

سال: 2009

ISSN: 1537-744X

DOI: 10.1100/tsw.2009.49