Fetal lower urinary tract obstruction and its management

Area of Science:

• Perinatology
• Fetal Medicine
• Pediatric Urology

Background:

• Prenatal diagnosis of fetal obstructive uropathies presents a clinical dilemma.
• Advances in ultrasound detection and fetal intervention techniques have improved management options.

Purpose of the Study:

• To review the current literature on fetal obstructive uropathies.
• To focus on the role of antenatal ultrasound, in utero treatment, and prognosis.
• To develop a clinical management and decision-making tool for healthcare providers and parents.

Main Methods:

• Systematic literature review.
• Focus on antenatal ultrasound, fetal intervention, and outcomes.

Main Results:

• Ultrasound detection of lower urinary tract obstruction has advanced.
• Fetal intervention techniques have also progressed.
• A clear diagnostic and management pathway is needed.

Conclusions:

• A clinico-diagnostic flow chart was developed.
• The flowchart aims to assist healthcare providers in managing fetal obstructive uropathies.
• It also supports parents in their decision-making process.