Antepartum chronic fetal vesicoamniotic shunts for obstructive uropathy: A report of two cases

Ultrasonographic anatomy and diagnosis of fetal uropathies affecting the upper urinary tract

“…Punctures in utero have been carried out : cystostomies [9,18,19,32,44,61,63,72] and pyelostomies [20,29,33,39,53,94], but certain considerations apply. In such cases a possible decision on urinary diversion in utero may have to be taken in discussion between parents, obstetricians, the ultrasonographer, pediatricians and surgeons.…”

Measurement of the Fetal Urine Production Rate Using Real-Time Ultrasound in Fetuses with Bilateral Hydronephrosis

“…Therefore, in order to save the life of the baby and maintain the development of renal function in cases with bilateral hydronephro sis, intrauterine treatment using an indwell ing catheter and when possible, early deliv ery followed by neonatal treatment have been done [2,3]. However, in fetuses with bilateral hydronephrosis, antenatal interven tion may not always be required.…”

“…Since then, several authors reported that fetuses with bilateral urinary tract obstruction have been treated successfully in utero, using inany of the cases, and. at present, renal insufdwelling catheters [2,3] or serial aspirations [4]. On the other hand, several authors [5.…”

Fetal Obstructive Uropathy

“…14 The association may result from the attendant oligohydramnios and not the result of impaired renal function per se. 14 The association may result from the attendant oligohydramnios and not the result of impaired renal function per se.…”

“…1,4,14 The goal of therapy is to avert development of pulmonary hypoplasia from the attendant oligohydramnios as well as to preserve renal function. 1,4,14 The goal of therapy is to avert development of pulmonary hypoplasia from the attendant oligohydramnios as well as to preserve renal function.…”