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| Year : 2003 | Volume
: 8
| Issue : 3 | Page : 163-168 |
Posterior urethral valves : antenatal diagnosis and management
SK Chowdhary, DT Wilcox, PG Ransley
Department of Pediatric Urology Great Ormond Street Hospital, London
Correspondence Address:
SK Chowdhary
Department of Pediatric Urology Great Ormond Street Hospital, London
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: Antenatal diagnosis and assessment has improved the understanding of the natural history of posterior urethral valves from inception to post natal life. More babies receive medical and surgical care in early neonatal life than ever before. However, it is not yet clear whether it reduces the incidence of end stage renal failure secondary to posterior urethral valves. The exact form and role of fetal intervention remains to be defined. It is certain that open fetal surgery has no role today. Vesico amniotic shunt may well be replaced by fetal endoscopy, although the indications, timing, and technique need to be further standardised. Once again whether it will indeed improve the outcome is terms of postnatal bladder dynamics and end stage renal failure remains to be seen. In the meanwhile, the diagnosis, assessment and fetal intervention must strictly remain limited to dedicated teams with experience and commitment to improving the outcome of such babies.
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