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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2021; 08(03): 203-210
DOI: 10.1007/s40556-021-00308-4
Fetal Procedures

Two Cases of Fetal Lower Urinary Tract Obstruction (LUTO) with Similar Presentations Before But Contrasting Outcomes After Fetoscopic Laser Fulguration of Posterior Urethral Valves

Jasmine Lall
1   Division of Fetal Medicine and Perinatology, Amrita Centre of Excellence in Fetal Care, AMRITA Institute of Medical Sciences, AIMS Ponekkara PO, 682 041, Kochi, Kerala, India
,
Mohan Abraham
2   Division of Paediatric and Fetal Surgery, AMRITA Institute of Medical Sciences, Kochi, India
,
Sarala Sreedhar
3   Division of Obstetrics and Gynaecology, AMRITA Institute of Medical Sciences, Kochi, India
,
Sudha Kishore
3   Division of Obstetrics and Gynaecology, AMRITA Institute of Medical Sciences, Kochi, India
,
Sushmita Namdeo
1   Division of Fetal Medicine and Perinatology, Amrita Centre of Excellence in Fetal Care, AMRITA Institute of Medical Sciences, AIMS Ponekkara PO, 682 041, Kochi, Kerala, India
,
Suresh Seshadri
4   Mediscan Systems, Chennai, India
,
Vivek Krishnan 
1   Division of Fetal Medicine and Perinatology, Amrita Centre of Excellence in Fetal Care, AMRITA Institute of Medical Sciences, AIMS Ponekkara PO, 682 041, Kochi, Kerala, India
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Abstract

Posterior urethral valves (PUV) are the commonest cause of lower urinary tract obstruction detected during the antenatal and immediate postnatal period in male fetuses. Treatment options for PUV during the antenatal period include percutaneous vesico-amniotic shunt, fetoscopic fulguration of the valve and open fetal cystostomy. We report two cases of fetal cystoscopic laser valvotomy with fairly similar pre-operative profiles but contrasting postnatal outcomes, which re-iterates the fact that case selection in such cases continues to be a challenge. These are the first case reports on fetoscopic laser valvotomy in India to the best of our knowledge.

Keywords

Lower urinary tract obstruction - LUTO - Posterior urethral valves - Laser ablation - Fetal cystoscopy


Publication History

Received: 12 May 2020

Accepted: 09 June 2021

Article published online:
05 May 2023

© 2021. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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