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Related Experiment Videos

Per-urethral transvesical first-trimester amniocentesis

R Frydman1, J C Pons, E Borghi

  • 1Service de Gynécologie-Obstétrique, Hopital Antoine Béclère, Clamart, France.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|February 1, 1993
PubMed
Summary

Early amniocentesis via a per-urethral transvesical route is feasible before 13 weeks gestation. This method offers a potential alternative to transabdominal amniocentesis for obtaining amniotic fluid samples.

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Area of Science:

  • Obstetrics and Gynecology
  • Fetal Medicine
  • Minimally Invasive Procedures

Background:

  • Early amniocentesis is crucial for genetic testing and fetal assessment.
  • The transabdominal route is the conventional method for amniocentesis.
  • Minimally invasive techniques are sought to improve safety and accessibility.

Purpose of the Study:

  • To evaluate the feasibility of early amniocentesis using a per-urethral transvesical approach.
  • To assess the ease of amniotic fluid acquisition and successful cell culture via this route.
  • To determine if this method is a viable alternative to the transabdominal route.

Main Methods:

  • Eight patients undergoing elective pregnancy termination provided amniotic fluid samples.
  • A per-urethral transvesical technique was employed for fluid collection before 13 weeks gestation.

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  • Amniotic fluid volume was recorded, and samples were cultured.
  • Main Results:

    • Amniotic fluid was successfully obtained in all eight cases.
    • The average amniotic fluid volume collected was 12.5 +/- 7.8 ml.
    • Successful cell culture was achieved in all samples, with one successful culture from only 2 ml of fluid.

    Conclusions:

    • Early amniocentesis before 13 weeks gestation is feasible using the per-urethral transvesical route.
    • This technique allows for easy acquisition of amniotic fluid and successful cell culture.
    • Further clinical trials are recommended to compare the per-urethral transvesical route with the transabdominal route.