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Two Cases of Fetal Lower Urinary Tract Obstruction (LUTO) with Similar Presentations Before But Contrasting Outcomes After Fetoscopic Laser Fulguration of Posterior Urethral Valves

  • Fetal Procedures
  • Published:
Journal of Fetal Medicine

Abstract

Posterior urethral valves (PUV) are the commonest cause of lower urinary tract obstruction detected during the antenatal and immediate postnatal period in male fetuses. Treatment options for PUV during the antenatal period include percutaneous vesico-amniotic shunt, fetoscopic fulguration of the valve and open fetal cystostomy. We report two cases of fetal cystoscopic laser valvotomy with fairly similar pre-operative profiles but contrasting postnatal outcomes, which re-iterates the fact that case selection in such cases continues to be a challenge. These are the first case reports on fetoscopic laser valvotomy in India to the best of our knowledge.

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Authors and Affiliations

  1. Division of Fetal Medicine and Perinatology, Amrita Centre of Excellence in Fetal Care, AMRITA Institute of Medical Sciences, AIMS Ponekkara PO, Kochi, Kerala, 682 041, India

    Jasmine Lall, Sushmita Namdeo & Vivek Krishnan

  2. Division of Paediatric and Fetal Surgery, AMRITA Institute of Medical Sciences, Kochi, India

    Mohan Abraham

  3. Division of Obstetrics and Gynaecology, AMRITA Institute of Medical Sciences, Kochi, India

    Sarala Sreedhar & Sudha Kishore

  4. Mediscan Systems, Chennai, India

    Suresh Seshadri

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  1. Jasmine Lall
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  2. Mohan Abraham
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  3. Sarala Sreedhar
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  4. Sudha Kishore
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  5. Sushmita Namdeo
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  6. Suresh Seshadri
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  7. Vivek Krishnan
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Correspondence to Vivek Krishnan.

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Lall, J., Abraham, M., Sreedhar, S. et al. Two Cases of Fetal Lower Urinary Tract Obstruction (LUTO) with Similar Presentations Before But Contrasting Outcomes After Fetoscopic Laser Fulguration of Posterior Urethral Valves. J. Fetal Med. 8, 203–210 (2021). https://doi.org/10.1007/s40556-021-00308-4

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  • DOI: https://doi.org/10.1007/s40556-021-00308-4

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