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• W2091919868 abstract "Obstructive uropathy is a significant source of morbidity and mortality in the neonate and infant, despite advances in postnatal management. Diagnosis is typically made early in the second trimester on the basis of sonographic measurements. In utero therapy holds promise for improved outcomes by preventing progressive urinary tract damage and permitting drainage of urine into the amniotic space to minimize the pulmonary sequelae of oligohydramnios. Multiple studies with animal models have showed the benefits of midgestational intervention, but large prospective, randomized studies have not yet been performed to confirm these findings in humans. Standardization of the diagnostic evaluation allows for refined patient selection, resulting in improved postnatal outcomes after fetal vesicoamniotic shunting. Research into the role of specific growth factors and immunoproteins in renal development and function may further improve patient selection and outcome. This article reviews diagnosis, technique, and outcomes for fetal treatment of obstructive uropathy." @default.
• W2091919868 created "2016-06-24" @default.
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• W2091919868 date "1999-12-01" @default.
• W2091919868 modified "2023-09-25" @default.
• W2091919868 title "Fetal intervention for obstructive uropathy" @default.
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• W2091919868 doi "https://doi.org/10.1016/s0146-0005(99)80027-5" @default.
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