%0 Case Reports
%T Cystoscopic placement of transurethral stent in a fetus with urethral stenosis.
%A Ruano R
%A Yoshizaki CT
%A Giron AM
%A Srougi M
%A Zugaib M
%J Ultrasound Obstet Gynecol
%V 44
%N 2
%D Aug 2014
%M 24375864
%F 8.678
%R 10.1002/uog.13293
%X 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.