Fetal lower urinary tract obstruction: What should we tell the prospective parents?


Journal

Prenatal diagnosis
ISSN: 1097-0223
Titre abrégé: Prenat Diagn
Pays: England
ID NLM: 8106540

Informations de publication

Date de publication:
05 2020
Historique:
received: 14 09 2019
revised: 28 01 2020
accepted: 12 02 2020
pubmed: 18 2 2020
medline: 22 6 2021
entrez: 18 2 2020
Statut: ppublish

Résumé

Fetal lower urinary tract obstruction (LUTO), which often results in marked perinatal morbidity and mortality, is caused by a heterogeneous group of anatomical defects that lead to blockage of the urethra. The classic prenatal presentation of LUTO includes megacystis with hydronephrosis. While mild forms of the disease can be associated with favorable outcomes, more severe disease commonly leads to dysplastic changes in the fetal kidneys, and ultimately oligohydramnios, which can result in secondary pulmonary hypoplasia and renal failure at birth. The aim of this review is to provide practitioners with a general overview of the diagnosis and treatment of LUTO based on disease severity, along with some points to consider when counseling prospective parents of fetuses with this condition.

Identifiants

pubmed: 32065667
doi: 10.1002/pd.5669
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

661-668

Informations de copyright

© 2020 John Wiley & Sons, Ltd.

Références

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Auteurs

Eniola Raheem Ibirogba (ER)

Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, Minnesota.

Sina Haeri (S)

St. David's Women's Center of Texas, Austin Maternal-Fetal Medicine, Austin, Texas.

Rodrigo Ruano (R)

Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, Rochester, Minnesota.

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