Abstract
Objective: To determine the importance of prenatal diagnosis, treatment and management in the fetal megacystis and lower urinary tract obstruction (LUTO).
Material and Method: We planned to present the management of a fetus diagnosed with prenatal megacystis through intrauterine surgical treatment. Amniocentesis was performed on the fetus diagnosed with fetal megacystis in the second trimester of pregnancy and vesicoamniotic shunt (VAS) surgery was performed for treatment. Termination was made in the 18 gestational week fetus who developed anhydroamnios and continued megacystis after VAS dislocation despite treatment.
Conclusion: We wanted to emphasize the importance of recognizing ultrasound findings in the prenatal diagnosis of LUTO and selection cases that will benefit from VAS treatment.
Keywords
Megacystis lower urinary tract obstruction (LUTO) oligohydroamnios fetal hydronephrosis vesicoamniotic shunt
Project Number
02/07
References
- Sebire NJ, Von Kaisenberg C, Rubio C, Snijders RJ, Nicolaides KH. Fetal megacystis at 10-14 weeks of gestation. Ultrasound Obstet Gynecol. 1996;8(6):387-90. https://doi.org/10.1046/j.1469-0705.1997.08060387.x
- Taghavi K, Sharpe C, Stringer MD. Fetal megacystis: A systematic review. J Pediatr Urol. 2017;13(1):7-15. https://doi.org/10.1016/j.jpurol.2016.09.003
- Anumba DO, Scott JE, Plant ND, Robson SC. Diagnosis and outcome of fetal lower urinary tract obstruction in the northern region of England. Prenat Diagn. 2005;25(1):7-13. https://doi.org/10.1002/pd.1074
- Farrugia MK. Fetal bladder outlet obstruction: Embryopathology, in utero intervention and outcome. J Pediatr Urol. 2016;12(5):296-303. https://doi.org/10.1016/j.jpurol.2016.05.047
- Tonni G, Vito I, Ventura A, Grisolia G, De Felice C. Fetal lower urinary tract obstruction and its management. Arch Gynecol Obstet. 2013;287(2):187-94. https://doi.org/10.1007/s00404-012-2615-9
- Sananes N, Cruz-Martinez R, Favre R, et al. Two-year outcomes after diagnostic and therapeutic fetal cystoscopy for lower urinary tract obstruction. Prenat Diagn. 2016;36(4):297-303. https://doi.org/10.1002/pd.4771
- Fontanella F, Duin LK, Adama van Scheltema PN, et al. Prenatal diagnosis of LUTO: improving diagnostic accuracy. Ultrasound Obstet Gynecol. 2018;52(6):739-43. https://doi.org/10.1002/uog.18990
- Ruano R, Sananes N, Sangi-Haghpeykar H, et al. Fetal intervention for severe lower urinary tract obstruction: a multicenter case-control study comparing fetal cystoscopy with vesicoamniotic shunting. Ultrasound Obstet Gynecol. 2015;45(4):452-8. https://doi.org/10.1002/uog.14652
- Morris RK, Malin GL, Quinlan-Jones E, et al. Percutaneous vesicoamniotic shunting versus conservative management for fetal lower urinary tract obstruction (PLUTO): a randomised trial. Lancet. 2013;382(9903):1496-506. https://doi.org/10.1016/S0140-6736(13)60992-7
- Nassr AA, Shazly SAM, Abdelmagied AM, et al. Effectiveness of vesicoamniotic shunt in fetuses with congenital lower urinary tract obstruction: an updated systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2017;49(6):696-703. https://doi.org/10.1002/uog.15988
Abstract
Amaç: Fetal megasistis ve alt üriner sistem obstrüksiyonunun (LUTO) prenatal tanı, tedavi ve yönetiminin önemini belirlemek
Gereç ve Yöntem: Prenatal megasistis tanısı alan bir fetüsün intrauterin cerrahi tedavisi ile yönetimini sunmayı planladık. Gebeliğin ikinci trimesterinde fetal megasistis tanısı alan fetüse amniosentez yapılmış, tedavi için vezikoamniyotik şant (VAS) cerrahisi yapılmıştır. Tedaviye rağmen VAS’ ın dislokasyonu sonrası anhidroamnios gelişen ve megasistisi devam eden 18 haftalık fetüste terminasyon yapılmıştır.
Sonuç: LUTO’nun prenatal tanısında ultrason bulgularının tanınması ve VAS tedavisinden fayda görecek olguları seçmenin önemini vurgulamak istedik.
Keywords
Megasistis alt üriner sistem obtrüksiyonu (LUTO) oligohidroamniyoz fetal hidronefroz vezikoamniyotik şant
Project Number
02/07
References
- Sebire NJ, Von Kaisenberg C, Rubio C, Snijders RJ, Nicolaides KH. Fetal megacystis at 10-14 weeks of gestation. Ultrasound Obstet Gynecol. 1996;8(6):387-90. https://doi.org/10.1046/j.1469-0705.1997.08060387.x
- Taghavi K, Sharpe C, Stringer MD. Fetal megacystis: A systematic review. J Pediatr Urol. 2017;13(1):7-15. https://doi.org/10.1016/j.jpurol.2016.09.003
- Anumba DO, Scott JE, Plant ND, Robson SC. Diagnosis and outcome of fetal lower urinary tract obstruction in the northern region of England. Prenat Diagn. 2005;25(1):7-13. https://doi.org/10.1002/pd.1074
- Farrugia MK. Fetal bladder outlet obstruction: Embryopathology, in utero intervention and outcome. J Pediatr Urol. 2016;12(5):296-303. https://doi.org/10.1016/j.jpurol.2016.05.047
- Tonni G, Vito I, Ventura A, Grisolia G, De Felice C. Fetal lower urinary tract obstruction and its management. Arch Gynecol Obstet. 2013;287(2):187-94. https://doi.org/10.1007/s00404-012-2615-9
- Sananes N, Cruz-Martinez R, Favre R, et al. Two-year outcomes after diagnostic and therapeutic fetal cystoscopy for lower urinary tract obstruction. Prenat Diagn. 2016;36(4):297-303. https://doi.org/10.1002/pd.4771
- Fontanella F, Duin LK, Adama van Scheltema PN, et al. Prenatal diagnosis of LUTO: improving diagnostic accuracy. Ultrasound Obstet Gynecol. 2018;52(6):739-43. https://doi.org/10.1002/uog.18990
- Ruano R, Sananes N, Sangi-Haghpeykar H, et al. Fetal intervention for severe lower urinary tract obstruction: a multicenter case-control study comparing fetal cystoscopy with vesicoamniotic shunting. Ultrasound Obstet Gynecol. 2015;45(4):452-8. https://doi.org/10.1002/uog.14652
- Morris RK, Malin GL, Quinlan-Jones E, et al. Percutaneous vesicoamniotic shunting versus conservative management for fetal lower urinary tract obstruction (PLUTO): a randomised trial. Lancet. 2013;382(9903):1496-506. https://doi.org/10.1016/S0140-6736(13)60992-7
- Nassr AA, Shazly SAM, Abdelmagied AM, et al. Effectiveness of vesicoamniotic shunt in fetuses with congenital lower urinary tract obstruction: an updated systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2017;49(6):696-703. https://doi.org/10.1002/uog.15988
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Obstetrics and Gynaecology, Reproductive Medicine (Other) |
| Journal Section | Case Report |
| Authors | |
| Project Number | 02/07 |
| Publication Date | June 9, 2024 |
| Submission Date | March 27, 2024 |
| Acceptance Date | May 1, 2024 |
| Published in Issue | Year 2024 Volume: 6 Issue: 2 |
