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Prenatal intervention for Fetal Urinary Tract Obstruction

Advances in imaging and minimally invasive techniques have allowed fetal surgeons to treat previously impossible diagnoses. In this video, Dr. Jose Peiro discusses the workup and treatment for fetal urinary tract obstruction. Hosted by Dr. Todd Ponsky

Download the StayCurrent: Pediatric Surgery app here: https://apps.apple.com/us/app/staycurrent-pediatric-surgery/id1254498901

00:00 Intro
00:19 Ultrasound diagnosis of fetal urinary tract obstruction
00:48 Male versus female fetal urinary tract obstruction
01:03 Why fix urinary tract obstruction in utero?
02:00 How to treat lungs, kidneys, and bladder in utero
03:32 How to measure fetal renal function
02:54 Vesicocentesis
03:40 Renal dysplasia
04:27 Fetal intervention options
04:46 Vesicoureteral shunts
05:14 How to place vesicoureteral shunts
06:11 Complications with vesicoureteral shunts
07:15 Open approach to fetal intervention for fetal urinary tract obstruction
07:57 Considerations for open fetal surgery
08:35 Fetoscopic procedures for fetal urinary tract obstruction. Cystoscopy
10:00 Fetoscopic valve ablation of posterior urethral valves
12:06 What to do if renal dysplasia plus minimal urine output
12:35 Amnioport placement

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