Prenatal diagnosis and outcome of fetal urinomas in relation to the underlying etiology

Article Medicine, General & Internal

Vesicoamniotic Shunting before 17+0 Weeks in Fetuses with Lower Urinary Tract Obstruction (LUTO): Comparison of Somatex vs. Harrison Shunt Systems

Brigitte Strizek et al.

Summary: Performing VAS surgery with a Somatex shunt before 17 + 0 weeks gestational age significantly improves perinatal survival and may positively impact renal function, likely due to lower dislocation rates. A normal amount of amniotic fluid in the third trimester is the best predictor of normal renal function in early childhood.

JOURNAL OF CLINICAL MEDICINE (2022)

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Review Pediatrics

Therapeutic intervention for fetal lower urinary tract obstruction: Current evidence and future strategies

Marie-Klaire Farrugia et al.

Summary: In-utero vesica-amniotic shunting for fetal lower urinary obstruction (LUTO) can improve perinatal survival, but carries significant risks requiring careful patient selection and timing. Improving the accuracy of prenatal diagnosis and identifying potential risk factors for fetal and postnatal renal failure are essential. When selecting the timing for intervention, various factors need to be considered, especially if the goal is renal preservation.

JOURNAL OF PEDIATRIC UROLOGY (2021)

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Article Pediatrics

Long-Term Renal Transplant Outcome in Patients With Posterior Urethral Valves. Prognostic Factors Related to Bladder Dysfunction Management

Maria Virginia Amesty et al.

Summary: Optimal bladder dysfunction treatment, including CIC with or without a Mitrofanoff procedure, might result in better long-term graft survival in patients with PUV. These procedures were not related to a worse RT outcome in spite of being associated with more frequent UTIs.

FRONTIERS IN PEDIATRICS (2021)

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Review Pediatrics