Fetoscopic placement of a transurethral stent for XXXX .

@entity1 @entity3551 @entity2907 @entity3041 @entity177 @entity358 @entity2906 @entity1876
PURPOSE: Fetal @entity1876 and consecutive @entity2906 result in a poor outcome. @entity177 and life threatening @entity358 have developed at term. We report a case of in utero fetal cystoscopy and successful placement of a transurethral vesico-amniotic Double-J (Medical Engineering Corp., New York, New York) stent. Indications, results and the potential benefits of different techniques are discussed. MATERIAL AND METHODS: A 36-year-old @entity1 (primipara) was evaluated at week 26 due to a male fetus with bilateral @entity3041 , massive distended bladder and an open posterior urethra. Using local anesthesia the fetal bladder was punctured, a 2.6 mm endoscope was inserted and a wire was advanced antegrade through the penis. A 2.8Fr Double-J stent was then placed between the bladder and @entity2907 . RESULTS: The bladder drained into the amnion, @entity3041 disappeared and the lung developed normally. At week 37 a healthy @entity1 was delivered who voided spontaneously. CONCLUSIONS: After careful selection of candidates for fetal intervention in obstructive @entity3551 direct vision fetoscopy and transurethral stent placement can be performed in @entity1 with @entity2906 , favorable urinary electrolytes and normal appearing kidneys.
