Ureterocele: Antenatal Diagnosis and Management
| Autor: | Rui Carvalho, Maria Antonieta Melo, Carla Nunes, Marta Janeiro, Luís M. Graça, Ana Beatriz Godinho |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Embryology medicine.medical_specialty Karyotype Prenatal diagnosis Fetoscopy Ureter Pregnancy Prenatal Diagnosis Humans Medicine Radiology Nuclear Medicine and imaging Hydronephrosis Ultrasonography Ureterocele medicine.diagnostic_test business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Gestational age General Medicine Megacystis medicine.disease Fetal Diseases medicine.anatomical_structure Pediatrics Perinatology and Child Health Female business Urinary tract obstruction |
| Zdroj: | Fetal Diagnosis and Therapy. 34:188-191 |
| ISSN: | 1421-9964 1015-3837 |
| DOI: | 10.1159/000353388 |
| Popis: | Ureteroceles are cystic dilations of the intravesical submucosal ureter. Most cases are associated with complete ureteral and renal duplication, and association with ureterohydronephrosis is frequent. The authors describe the 4 cases of fetal ureterocele diagnosed from March 2008 to March 2012. Mean gestational age at diagnosis was 23 weeks (16-34 weeks). One of 4 cases progressed to severe hydronephrosis with megacystis and was referred to a Fetal Medicine Center for fetoscopy and laser ureterocelotomy. The remaining 3 cases did not need fetal therapy. Mean gestational age at delivery was 37 weeks. One case abandoned follow-up; 2 children were submitted to cystoscopic ureterocele incision and the child submitted to fetal therapy needed heminephrectomy due to recurrent urinary tract infections. In those 3 cases renal function was preserved. When a fetal ureterocele is diagnosed, close sonographic surveillance should be offered to monitor the possible urinary tract obstruction and assess the need for prenatal intervention. Fetal diagnosis is important to program the timing of delivery and postnatal care. |
| Databáze: | OpenAIRE |
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