Fetal Urinary Obstruction

 

 

 

Causes and Risk Factors

 

strictures in the UVJ or UPJ

congenital uretral valves

posterior urethral valves - abnormal musocal folds

urine reflux

ureterocoele

duplication anomalies

neurogenic bladder

 

 

 

Signs, Symptoms, and Diagnosis

 

 

 

 

 

 

 

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Pathophysiology

 

Posterior urethral valves - polygenic

 

 

 

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Treatments

Usually, treatment is delayed until after birth.

Surgically, a shunt can be made between the bladder and the amniotic sac.

 

 

 

 

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Consequences and Course

 

Kidney failure can result due to dysplasia from increased pressure. GFR is decreased. Increased pressure leads to ANG II.

Ischemia can result from vasoconstriction, and atrophy is a final result.

 

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The Patient

 

 

 

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Health Care Team

 

 

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Community Involvement

 

 

 

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References