Successful vesicoamniotic shunting of posterior urethral valves in the first trimester of pregnancy.
Prenatal ultrasonography early in gestation allows diagnosis of posterior urethral valves. We report on a fetus with posterior urethral valves treated using vesicoamniotic shunting at 13 + 5 weeks' gestation. A double-basket catheter was used for shunting. A 2582-g male neonate was delivered at 33 weeks' gestation, and the infant continued to show normal renal function at 3 years of age. To the best of our knowledge this is the first report of successful vesicoamniotic shunt placement using a double-basket catheter in the first trimester of pregnancy.
Kim
S K
SK
Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Won
H S
HS
Shim
J Y
JY
Kim
K S
KS
Lee
P R
PR
Kim
A
A
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D011295:Prenatal Care / Q000379:methods*; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal; D014521:Urethra / Q000002:abnormalities* / Q000601:surgery; D014524:Urethral Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*