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Intra-uterine cystography for evaluation of prenatal obstructive uropathy

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Abstract

To evaluate the risk for kidney damage in a male fetus with obstructive uropathy, a percutaneous bladder puncture was performed at 26 weeks gestational age and contrast was injected into the fetal bladder. A clear picture was obtained of the bladder with marked widening of the prostatic urethra and posterior urethral valves, and massive bilateral vesicoureteral reflux could be demonstrated. By adding cysto-urethrography to a diagnostic puncture of the fetal bladder it could be proved that the dilatation of the upper urinary tracts was caused by high-pressure vesico-ureteral reflux incurring progressive damage to the renal parenchyma.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, University Hospital Utrecht, The Netherlands

    Ph. Stoutenbeek & A. P. Drogtrop

  2. Department of Pediatric Urology, University Children's Hospital “Het Wilhelmina Kinderziekenhuis”, P.O. Box 18009, NL-3501 CA, Utrecht, The Netherlands

    T. P. V. M. de Jong & J. D. van Gool

Authors
  1. Ph. Stoutenbeek
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  2. T. P. V. M. de Jong
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  3. J. D. van Gool
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  4. A. P. Drogtrop
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Stoutenbeek, P., de Jong, T.P.V.M., van Gool, J.D. et al. Intra-uterine cystography for evaluation of prenatal obstructive uropathy. Pediatr Radiol 19, 247–249 (1989). https://doi.org/10.1007/BF02386845

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  • DOI: https://doi.org/10.1007/BF02386845

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