Fetal megacystis: Institutional experience and outcomes
| Autor: | Jay Marlow, Caitlin Sharpe, Mark D. Stringer, Kiarash Taghavi, Jane Zuccollo |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Duodenum medicine.medical_treatment Perinatal Death Urinary Bladder 030232 urology & nephrology Oligohydramnios Ultrasonography Prenatal 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy Fetal megacystis medicine Prevalence Humans Obstructive uropathy Dialysis Retrospective Studies Fetus 030219 obstetrics & reproductive medicine business.industry Infant Newborn Obstetrics and Gynecology General Medicine Megacystis medicine.disease Transplantation Survival Rate Fetal Diseases Female business Live Birth Abortion Eugenic Perinatal Deaths New Zealand |
| Zdroj: | The AustralianNew Zealand journal of obstetricsgynaecology. 57(6) |
| ISSN: | 1479-828X |
| Popis: | Background Fetal megacystis is a sonographic feature that may be indicative of several underlying pathologies. Despite advances in diagnosis and management, the overall prognosis of affected fetuses remains poor and about 50% of such pregnancies are terminated. Aims To define the frequency, management, survival and renal outcomes of fetal megacystis over nine years at Wellington Hospital, New Zealand. Materials and Methods A nine-year retrospective review of fetuses with an antenatal diagnosis of megacystis was undertaken. Results Sixteen cases were identified (nine live births, five terminations and two perinatal deaths). This gives an observed frequency of one per 940 fetuses scanned. Two-thirds of the live births have survived and been followed for a mean of 5.3 years. None have required renal dialysis or transplantation to date. Conclusions The current series contributes to our knowledge of fetal megacystis and helps to inform antenatal counselling. Improved prognostic criteria are urgently required to accurately differentiate between fetuses with favourable versus poor outcomes. |
| Databáze: | OpenAIRE |
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