In utero bladder diversion--problems with patient selection.

C Weiner; R Williamson; S M Bonsib; A Erenberg; K Pringle; W Smith; M Abu-Yousef

doi:10.1159/000262269

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In utero bladder diversion--problems with patient selection.

C Weiner·R Williamson·S M Bonsib·A Erenberg·K Pringle·W Smith·M Abu-Yousef

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Abstract

Based upon the concept that an obstruction-maldevelopment sequence is reversible after diversion, it has been suggested that the fetus with a bladder outlet obstruction is a potential candidate for in utero intervention. We report an infant who had both renal and pulmonary dysplasia at birth despite a technically successful diversion at 22 weeks' gestation. The poor outcome suggests that the organ damage either occurs so early that it precludes corrective surgery, or that the maldevelopment is not the result of obstruction, but rather a primary mesodermal defect.

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Abdomen Abnormalities, Multiple Cysts Female Fetal Diseases Humans Infant, Newborn Kidney Lung Male Pregnancy Ultrasonography Urethra Urinary Bladder Neck Obstruction Urinary Diversion Case Reports Journal Article

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C Weiner, R Williamson, S M Bonsib, A Erenberg, K Pringle, W Smith, M Abu-Yousef. 1986. In utero bladder diversion--problems with patient selection.. https://doi.org/10.1159/000262269

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