Fetal urological aspect

Pediatric Surgery
Dr. Pramod Reddy, Division of Pediatric Urology, discusses fetal cystoscopy. Dr. Reddy discusses fetal intervention and risks, urinary tract obstructions, open intervention versus fetoscopic intervention, the risks of shunt usage for renal functions, normal fetal fluid pressure range. Dr. Greg Ryan, Head of Maternal-Fetal Medicine at Mount Sinai Hospital, presents on fetal cystoscopy. His discussion includes topics of advantages and effectiveness of fetal cystocopy, fetal cystoscopy and laser ablation of posterior urethral valve (PUV), shunting for lower urinary tract obstruction and complications and risks of a urinary tract fistula. Following Dr. Ryan's discussion a case was presented to the panel involving fetal cystoscopy and transurethral catheterization for posterior urethral valve. Discussion following the case presentation includes renal function maintenance, bladder taps, maternal laparotomy, twin-twin transfusion syndrome, anesthetic risk, urethral atresia diagnosis, and pulmonary hypoplasia. Dr. Reddy presents on open fetal intervention, open fetal vesicostomies and laparotomy. Dr. Mark P. Johnson, discusses long term outcomes of bladder function when using multidisapline approaches.

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