Korean J Urol.
2003 Nov;44(11):1172-1176.
Clinical Courses after Fetal Intervention in Patients with Posterior Urethral Valves
- Affiliations
-
- 1Department of Urology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. kskim2@amc.seoul.kr
- 2Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Abstract
- We report the clinical experiences of three patients with posterior urethral valve(PUV) who underwent fetal intervention. Vesico-amniotic shunts were installed under ultrasonographic guidance at the gestational age of 13, 20, and 21 weeks, respectively. Although the vesico-amniotic shunts migrated over the months, renal change was prevented. Two patients remained in good health with normal renal function at follow-up at 8 and 24 months, while one patient with renal dysplasia died due to sepsis at the age of 3 months. We suggest that fetal intervention for patients with PUV is meaningful if the candidates for intervention can be carefully selected.
