Fetal lower urinary tract obstruction: a current overview of intrauterine diagnosis and treatment

Ceska Gynekol. 2021;86(2):133-139. doi: 10.48095/cccg2021133.

Abstract

Objective: The aim of this review article is to provide a practical and concise overview of diagnosis and management of pregnancy with fetal lower urinary tract obstruction.

Methods: Review of literature and current studies.

Conclusion: Proper diagnosis and management of isolated fetal lower urinary tract obstruction with oligohydramnios allows appropriate implementation of intrauterine treatment in indicated cases. The treatment is a prevention of pulmonary hypoplasia and also improves renal function; this finally contributes to the improvement of overall perinatal morbidity and mortality.

Keywords: fetal cystoscopy; fetal lower urinary tract obstruction; posterior urethral valve; vesicoamniotic shunting.

Publication types

  • Review

MeSH terms

  • Female
  • Fetal Diseases* / diagnosis
  • Humans
  • Pregnancy
  • Prenatal Diagnosis
  • Ultrasonography, Prenatal
  • Urethral Obstruction* / diagnosis
  • Urethral Obstruction* / etiology
  • Urethral Obstruction* / therapy