关键词: cystoscopy fetal lower urinary tract obstruction fetal surgery laser therapy posterior urethral valves urethral atresia urethral stenosis vesicoamniotic shunting

Mesh : Adult Catheterization Cystoscopy / methods Female Fetal Diseases / diagnostic imaging surgery Fetus / surgery Gestational Age Humans Infant Male Pregnancy Stents Ultrasonography, Prenatal / methods Urethra / diagnostic imaging embryology Urethral Obstruction / diagnosis diagnostic imaging surgery Urethral Stricture / diagnostic imaging surgery Urinary Bladder / abnormalities diagnostic imaging

来  源:   DOI:10.1002/uog.13293

Abstract:
We report the case of a fetus with severe megabladder, displaying the \'keyhole\' sign on ultrasound imaging, that underwent cystoscopy at 22 weeks\' gestation. There was a familial history of mild urethral atresia. Fetal cystoscopy revealed congenital urethral atresia. A guide wire was advanced through the fetal urethra and a transurethral vesicoamniotic stent was placed successfully. The fetus was delivered at 36 weeks\' gestation and postnatal cystoscopy confirmed the absence of posterior urethral valves or urethral atresia. The infant was 5 years old with normal renal function at the time of writing. We conclude that fetal cystoscopic placement of a transurethral stent for congenital urethral stenosis is feasible.
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