Valentina Capone, Nicola Persico, Alfredo Berrettini, Stèphane Decramer, Erika Adalgisa De Marco, Diego De Palma, Alessandra Familiari, Wout Feitz, Maria Herthelius, Vytis Kazlauskas, Max Liebau, Gianantonio Manzoni, Michal Maternik, Giovanni Mosiello, Joost Peter Schanstra, Johan Vande Walle, Elke Wühl, Elisa Ylinen, Aleksandra Zurowska, Franz Schaefer, Giovanni Montini
Fetal lower urinary tract obstruction (LUTO) is associated with high mortality and postnatal morbidity caused by lung hypoplasia and impaired kidney function. Specific diagnostic features that can guide clinical approach and decisions are lacking; thus, the European Reference Network for Rare Kidney Diseases established a work group to develop recommendations regarding the clinical definition, diagnosis and management of prenatally detected LUTO. The work group recommends the use of antero-posterior diameter of renal pelvis as the most reliable parameter for suspecting obstructive uropathies and for suspecting prenatal LUTO in the presence of fetal megacystis...
May 2022: Nature Reviews. Urology