New minimally invasive technique for cystoscopic laser treatment of fetal ureterocele

N. Persico, A. Berrettini, I. Fabietti, C. Dallagiovanna, D. Minoli, F. Mosca, L. Fedele, G. Manzoni

Research output: Contribution to journalArticle

Abstract

Prenatal ultrasound detection of fetal ureterocele with bilateral hydroureteronephrosis, obstruction of the bladder outlet and progressive amniotic fluid reduction have been associated with a significant risk of end-stage chronic renal disease after birth. Fetal cystoscopic laser incision of the ureterocele, using standard 3.5-mm fetoscopic access to the amniotic cavity and the fetal bladder with the aim of relieving the bladder outflow obstruction to preserve renal function, has been reported previously in a case with a favorable outcome. We report on two additional cases of fetal ureterocele treated by cystoscopic laser decompression. In the first case, a standard 3.3-mm uterine entry was used. In the second case, a new approach was adopted using an ‘all-seeing needle’ 1.6-mm endoscope.

Original languageEnglish
Pages (from-to)124-127
Number of pages4
JournalUltrasound in Obstetrics and Gynecology
Volume50
Issue number1
DOIs
Publication statusPublished - Jul 1 2017

Keywords

  • fetal cystoscopy
  • fetal surgery
  • laser
  • ultrasound
  • ureterocele

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Reproductive Medicine
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynaecology

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