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Fetal lower urinary tract obstruction: What should we tell the prospective parents?
- Source :
-
Prenatal diagnosis [Prenat Diagn] 2020 May; Vol. 40 (6), pp. 661-668. Date of Electronic Publication: 2020 Feb 26. - Publication Year :
- 2020
-
Abstract
- 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.<br /> (© 2020 John Wiley & Sons, Ltd.)
- Subjects :
- Abnormalities, Multiple diagnostic imaging
Abnormalities, Multiple etiology
Counseling
Female
Fetal Therapies
Humans
Kidney abnormalities
Lung abnormalities
Lung diagnostic imaging
Lung Diseases diagnostic imaging
Lung Diseases etiology
Male
Oligohydramnios etiology
Oligohydramnios therapy
Pregnancy
Prenatal Care
Prenatal Diagnosis
Severity of Illness Index
Ultrasonography, Prenatal
Urethra abnormalities
Urethral Obstruction surgery
Urethral Obstruction urine
Urinary Bladder abnormalities
Kidney diagnostic imaging
Oligohydramnios diagnostic imaging
Urethra diagnostic imaging
Urethral Obstruction diagnostic imaging
Urinary Bladder diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1097-0223
- Volume :
- 40
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Prenatal diagnosis
- Publication Type :
- Academic Journal
- Accession number :
- 32065667
- Full Text :
- https://doi.org/10.1002/pd.5669