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September 5, 2025Fetal Diagnosis and TherapyOpen Access

Fetal cystoscopy (FC) and vesicoamniotic shunting (VAS) in lower urinary tract obstruction (LUTO): a meta-analysis of long-term outcome and current technical limitations

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Authors

IPIrene ParaboschiUniversity of Milan UPUgo Maria PierucciDélégation Paris 5 MPMatthieu PeycelonDélégation Paris 5

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Implication

Meta-analysis compares nephro-urological outcomes in fetuses with lower urinary tract obstruction, revealing technical challenges and similar results.

Key Points

Fetal cystoscopy and vesicoamniotic shunting yielded similar obstetric and survival outcomes, with a significant difference in pregnancy termination rates.
The incidence of intrauterine fetal demise and postnatal death were comparable between groups, suggesting equal effectiveness in severe cases.
The analysis included 49 studies from a total of 467 citations, highlighting the consensus on the efficacy and risks of each procedure.
Technical complications like chorioamnionitis occurred at similar rates in both interventions, emphasizing the need for cautious approach in prenatally diagnosed cases.

Cite This Study

Paraboschi et al. (2025) studied this question.

synapsesocial.com/papers/68bb5f586d6d5674bcd03914 https://doi.org/10.1159/000547182

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Implication

Meta-analysis compares nephro-urological outcomes in fetuses with lower urinary tract obstruction, revealing technical challenges and similar results.

Fetal cystoscopy (FC) and vesicoamniotic shunting (VAS) in lower urinary tract obstruction (LUTO): a meta-analysis of long-term outcome and current technical limitations

Discussion

Member takes

Implication

Key Points

Cite This Study

Fetal cystoscopy (FC) and vesicoamniotic shunting (VAS) in lower urinary tract obstruction (LUTO): a meta-analysis of long-term outcome and current technical limitations

Discussion

Member takes

Implication

Key Points

Cite This Study

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