Clinical Courses after Fetal Intervention in Patients with Posterior Urethral Valves.
- Author:
Sungchan PARK
1
;
Hyesung WON
;
Kun Suk KIM
Author Information
1. Department of Urology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. kskim2@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Urethral obstruction;
Fetus;
Treatment outcome
- MeSH:
Fetus;
Follow-Up Studies;
Gestational Age;
Humans;
Sepsis;
Treatment Outcome;
Urethral Obstruction
- From:Korean Journal of Urology
2003;44(11):1172-1176
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report the clinical experiences of three patients with posterior urethral valve(PUV) who underwent fetal intervention. Vesico-amniotic shunts were installed under ultrasonographic guidance at the gestational age of 13, 20, and 21 weeks, respectively. Although the vesico-amniotic shunts migrated over the months, renal change was prevented. Two patients remained in good health with normal renal function at follow-up at 8 and 24 months, while one patient with renal dysplasia died due to sepsis at the age of 3 months. We suggest that fetal intervention for patients with PUV is meaningful if the candidates for intervention can be carefully selected.
