产前干预导致下尿路梗阻的男性胎儿大输尿管囊肿“胎儿泌尿外科学会病例报告，2024年秋季”。

IF 2.1 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology Pub Date : 2025-01-07 DOI:10.1016/j.urology.2024.12.035

Camila Moreno Bencardino, Mandy Rickard, Armando J Lorenzo, Joana Dos Santos, Jin Kyu Kim, Michael Chua, Catalina Sanchez, Kay Rivera, Rodrigo Romao, Johannes Keunen, Shiri Shinar

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引用次数: 0

摘要

一个孕20周的男性胎儿表现为严重的双侧输尿管积水和膀胱膨胀，原因是输尿管大囊肿。21+3周行经皮输尿管精索穿刺，目的是减压输尿管精索，疏通下尿路，防止肾损害。穿刺后，输尿管囊肿减压，左侧肾积水改善，右侧肾正常。产后随访显示双侧HUN改善。足月，婴儿出生时没有并发症，但输尿管囊肿再次充盈，需要在出生后经尿道切开。本病例强调了产前输尿管囊肿穿刺治疗胎儿输尿管囊肿的可行性和益处，强调了密切和长期随访的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Prenatal Intervention for a Large Ureterocele in a Male Fetus Causing Lower Urinary Tract Obstruction "Society of Fetal Urology Case Reports, Fall 2024".

A male fetus at 20 weeks of gestation presented with severe bilateral hydroureteronephrosis and distended bladder due to a large ureterocele. A percutaneous ureterocele puncture at 21+3 weeks aimed to decompress the ureterocele, unclog the lower urinary tract, and prevent renal damage. Post-puncture, the ureterocele decompressed, with improved left hydronephrosis and a normal right kidney. Postnatal follow-up showed bilateral HUN improvement. At term, the baby was delivered without complications, but the ureterocele refilled, necessitating a postnatal transurethral incision. This case highlights the feasibility and benefits of prenatal ureterocele puncture for fetal ureteroceles, underscoring the need for close and long-term follow-up.

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来源期刊

Urology 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

9.50%

发文量

716

审稿时长

59 days

期刊介绍： Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.