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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Prenatal incision of ureterocele causing bladder outlet obstruction: a multicenter case series
Prenatal Diagnosis, Volume 37, No. 10, Year 2017
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Description
We reviewed data from a cohort of fetuses with ureterocele diagnosed and operated prenatally in four fetal therapy centers. Inclusion criteria were (1) ureterocele confirmed on detailed fetal ultrasound examination, (2) absence of additional fetal malformations, and (3) fetal intervention to decompress the ureterocele with local institutional review boards' approval. Data on sonographic follow-up, obstetrical, neonatal outcome, and postnatal evaluation were collected. Ten cases of prenatally treated ureterocele are described. Six cases benefited from a fetoscopy for laser incision and decompression, two cases had an ultrasound guided puncture before resorting to a fetoscopy with laser incision, one case had a balloon catheterization under ultrasound guidance, and one case had an ultrasound-guided opening of the ureterocele with a laser fiber passed through a 20-gauge needle. Mean gestational age at diagnosis was 21.6 GW. Two cases underwent termination of pregnancy. The remaining eight cases recovered normal amniotic fluid volume and delivered a liveborn child at a mean gestational age of 38.6 GW with normal creatinine levels during the first week of life. Prenatal incision provided complete treatment of severely obstructive ureteroceles in 80% of the cases and allowed improvement of urinary electrolytes, renal size and echogenicity, bladder filling in all survivors, and recollection of normal amniotic fluid volume, in case of oligoanhydramnios. © 2017 John Wiley & Sons, Ltd.
Authors & Co-Authors
Chalouhi, Gihad Elias
France, Paris
Hôpital Necker Enfants Malades
Lebanon, Beirut
Université Saint-joseph de Beyrouth
Morency, Anne Maude
Canada, Toronto
University of Toronto
De Vlieger, Roland
Belgium, Leuven
Ku Leuven
Martinez, José Maria
Spain, Barcelona
Universitat de Barcelona
Blanc, Thomas
France, Paris
Hôpital Necker Enfants Malades
Hodges, Ryan
France, Paris
Hôpital Necker Enfants Malades
Gueneuc, Alexandra
France, Paris
Hôpital Necker Enfants Malades
Ryan, Greg
Canada, Toronto
University of Toronto
Deprest, JanaM
Belgium, Leuven
Ku Leuven
Gratacós, Eduard
Spain, Barcelona
Universitat de Barcelona
Ville, Yves H.
France, Paris
Hôpital Necker Enfants Malades
Statistics
Citations: 15
Authors: 11
Affiliations: 5
Identifiers
Doi:
10.1002/pd.5091
ISSN:
01973851
e-ISSN:
10970223
Research Areas
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cohort Study