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bilateral hydronephrosis (open surgical procedures (ureterostomies, fetal…
bilateral hydronephrosis
Congenital bilateral hydronephrosis
fetal urethra obstruction at the bladder
posterior urethral valve in males
urethral obstruction in female fetuses
detected by U/S
Potters syndrome
no fluid around baby
hydronephrosis
renal failure
type 4 cystic dysplasia
hydroueter and megacystis
abdominal muscle deficiency sydrome
prune belly
Oligohydraminos
Potter's facies
hypoplastic lungs
flexion contraction
early intrauterine intervention
decompresses urinary tract
allows for renal development
drainage of fetal bladder into amniotic sac
high mortality rate
40 % of survivors have end-stage renal failure
open surgical procedures
ureterostomies
fetal vesicotomy
alternatives to catheter decompression
vesicoamniotic catheter shunts
valveless, double coiled catheters
drains fluid
common problems
difficult placement :
occulsion
displacement
infection
iatrogenic abdominal wall defect and amnioperitoneal leaks