Operative fetoscopical management of intrauterine obstructive uropathia by urethral stent.
We report on an innovative therapeutic attempt in a case with obstructive uropathia in a fetus. Placement of an anterograd urethral stent was performed in the 26th gestational week. Transurethral catheterization via the fetal megacystis, the urethra and the orificium externum of the penis was feasible during fetal endoscopy (Fetendo). During serial ultrasound scans from the 27th to the 36th gestational week a normalization of the amniotic fluid volume was observed. The postpartal evaluation demonstrated that the kidney structure, values of kreatinin serum levels and renal clearance were in the normal range. The boy's development after the seventh month is completely normal. Fetendo with urethral stent application for obstructive uropathy should be performed for the carefully selected patient with oligohydramnion and normal kidney appearance.
Schmidt
Stephan
S
Department of Obstetrics, University of Marburg, Marburg, Germany. schmidts@post.med.uni-marburg.de
Hofmann
Rainer
R
Tekesin
Ismail
I
Sierra
Felix
F
Becker
Tanja
T
D000328:Adult; D002404:Catheterization / Q000379:methods; D003558:Cystoscopy / Q000379:methods; D005260:Female; D005332:Fetoscopy / Q000379:methods*; D006801:Humans; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D015607:Stents; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal / Q000379:methods; D014524:Urethral Obstruction / Q000151:congenital* / Q000601:surgery*