A New Look at the Tactics of Managing Patients with Obstructive Uropathies in Fetus

Abstract

Aim: to describe modern methods of diagnosis, therapy and surgical correction of urinary system obstruction in the fetus, as well as gestational outcomes for the fetus with various options for intrauterine correction or without it. Key points. Obstructive uropathy in fetuses is a complex of intrauterine morphological and functional changes in the urinary tract, which develop as a result of a violation of the passage of urine of various origins. The authors studied modern approaches to the management of patients with obstructive fetal uropathy and methods of intrauterine correction of this pathology. The pathogenesis, emerging complications, key diagnostic biomarkers are considered based on the materials of domestic and foreign articles on this topic, posted in the eLibrary and PubMed databases. Conclusion. Conducting intrauterine bypass surgery in obstructive fetal uropathology can help reduce the risk of adverse perinatal outcomes, prevent the development of complications from other organs and systems and prevent disability of children. Keywords: obstructive fetal uropathies, bypass surgery, urinary system.