Korean J Obstet Gynecol.  2004 Dec;47(12):2481-2484.

Vesico-Amniotic Shunting in Fetal Posterior Urethral Valve Syndrome

• Hwang TK
• Ha MS
• Lee SK
• Lee IH
• Park YJ
• Ji IW
• Jeong EH
• Kim HS

Abstract

Fetal posterior urethral valve syndrome results in potentially lethal complications including renal dysplasia, pulmonary hypoplasia. Antenatal fetal vesicocentesis and amniotic fluid infusion may be useful to improve neonatal pulmonary function, however rapid recurrence of urinary retention and oligohydramnios usually required repetitive invasive procedures. We successfully treated a posterior urethral valve syndrome with vesico-amniotic shunt. Under ultrasonographic guidence, we inserted a Double-Basket Catheter into fetal urinary bladder through lower abdominal wall at second trimester. Shunt remained in place until the fetus was delivered at 35th gestational week. The vesico-amniotic shunt can improve fetal outcome and avoid repeated vesicocentesis before delivery.

Keyword

Posterior urethral valve syndrome; Vesico-amniotic shunt

MeSH Terms

Abdominal Wall
Amniotic Fluid
Catheters
Female
Fetus
Humans
Oligohydramnios
Pregnancy
Pregnancy Trimester, Second
Recurrence
Urinary Bladder
Urinary Retention