Prenatal intervention for urinary obstruction and myelomeningocele
نویسندگان
چکیده
منابع مشابه
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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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 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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In a consecutive series of 200 neonates having undergone surgery for open myelomeningocele, 24 of the 106 survivors at 10 to 12 years of age proved to be continent of urine. These figures included 11 children who had considerable neurological involvement. 4 children did not acquire urinary control until after the age of 5 years. Therefore, we consider early urinary diversion in children with my...
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Long-term drainage of the urinary tracts of patients with impassable ureteric strictures remains a major challenge to the urologist. Until the mid 1970’s the only viable, minimally invasive treatment was a permanent nephrostomy with all its sequelae, loss of quality of life, risk of tube dislocation, infection, and recurrent obstruction (Marberger, 2006). For decades, researchers experimented w...
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ژورنال
عنوان ژورنال: International braz j urol
سال: 2004
ISSN: 1677-5538
DOI: 10.1590/s1677-55382004000100010