Option of Prenatal LUTO Intervention (4 of 9)
Articles,  Blog

Option of Prenatal LUTO Intervention (4 of 9)


>>THE PROBLEM WITH URETHRAL
OBSTRUCTION IN LUTO IS THAT THE URINE CAN’T GET OUT SO THE
BLADDER FILLS AND ENLARGES.>>IF YOU COULD DECOMPRESS
THAT URINARY TRACT, DECOMPRESS THE BLADDER, GIVE
THE URINE ANOTHER ROUTE TO GET OUT INTO THE
AMNIOTIC FLUID, THEN YOU COULD AVERT THE
PROBLEMS WITH THE LUNGS, AVERT PULMONARY HYPOPLASIA,
AND AVERT THE RENAL DAMAGE.>>AND THAT’S THE WHOLE
GENESIS OF CONSIDERING SHUNTING OF THE FLUID OR THE
URINE THAT’S IN THE BLADDER BACK INTO THE
AMNIOTIC SPACE, RECONSTITUTING THAT SO THAT
ULTIMATELY LUNGS CAN DEVELOP NORMALLY.>>A SHUNT TUBE PROVIDES A
PASSAGEWAY FOR THE URINE FLOW To GO FROM THE
BLADDER, WHICH WAS OTHERWISE COMPLETELY OBSTRUCTED OUT
INTO THE AMNIOTIC SPACE. IT ALLOWS THE
AMNIOTIC FLUID TO COME BACK, IT ALLOWS THE
LUNGS TO DEVELOP, DECREASES THE PRESSURE ON
THE DEVELOPING KIDNEYS, AND HOPEFULLY
PRESERVES RENAL FUNCTION.>>IN UTERO INTERVENTION
DOES NOT MEAN A CURE. IT CANNOT REVERSE THE
RENAL DAMAGE THAT IS ALREADY PRESENT.>>IT’S JUST A TEMPORARY
TREATMENT AND THE REAL WORK STARTS AFTER BIRTH.>>THE MULTIDISCIPLINARY
CONSULT TAKES PLACE TO REALLY EDUCATE THE FAMILIES
ABOUT BOTH THE RISKS AND THE BENEFITS OF IN
UTERO INTERVENTION.>>WHEN WE REALLY GO INTO
GREAT DETAIL ABOUT THE SHUNT PROCEDURE.>>HERE’S WHAT
YOU CAN EXPECT. HERE’S YOUR PERCENTAGES OF
THIS HAPPENING OR THE OTHER THING HAPPENING.>>WE TALK ABOUT OUR
EXPERIENCE WITH LONG-TERM SURVIVAL AND OUTCOMES.>>IS HE IMMEDIATELY GOING
TO NEED A KIDNEY TRANSPLANT? IS HIS BLADDER
GOING TO WORK AT ALL?>>AND WE ALSO TALK ABOUT
THE POTENTIAL RISKS TO THE MOTHER AND TO THE FETUS OF
THIS PROCEDURE BECAUSE IT IS AN INVASIVE PROCEDURE.>>THAT MEETING, YOU KNOW,
IT’S ONE OF THOSE MEETINGS, IT’S A DECISION POINT IN
YOUR LIFE WHICH YOU’LL REMEMBER FOREVER.>>CHOICES ARE THEIRS AND
WHATEVER FAMILIES DECIDE TO DO, WHATEVER THE
MOTHER DECIDES TO DO, IS CARRYING A
BABY WITH LUTO, THAT’S GOING TO BE THE
RIGHT CHOICE FOR HER.
.

Leave a Reply

Your email address will not be published. Required fields are marked *