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Fetal lower urinary tract obstruction

MedGen UID:
931214
Concept ID:
C4305545
Disease or Syndrome
Synonyms: fetal lower urinary tract obstruction; LUTO
SNOMED CT: Fetal lower urinary tract obstruction (717752005)
 
HPO: HP:0034247
Monarch Initiative: MONDO:0018559
Orphanet: ORPHA435365

Definition

An obstruction in the ureter leading to bladder outlet obstruction. Special criteria are used for lower urinary tract obstruction (LUTO) in the fetus. Prenatal LUTO has classically been suspected on the basis of three ultrasonographic findings [from HPO]

Professional guidelines

PubMed

Mustafa HJ, Khalil A, Johnson S, Gordijn SJ, Ganzevoort W, Melling C, Koh CJ, Mandy GT, Kilby MD, Johnson A, Quintero RA, Ryan G, Shamshirsaz AA, Nassr AA;  on behalf of the LUTO Working Group
Ultrasound Obstet Gynecol 2024 Nov;64(5):635-650. doi: 10.1002/uog.27684. PMID: 38748971Free PMC Article
Kurtz MP
Urol Clin North Am 2023 Aug;50(3):351-359. Epub 2023 May 26 doi: 10.1016/j.ucl.2023.04.006. PMID: 37385699
Capone V, Persico N, Berrettini A, Decramer S, De Marco EA, De Palma D, Familiari A, Feitz W, Herthelius M, Kazlauskas V, Liebau M, Manzoni G, Maternik M, Mosiello G, Schanstra JP, Vande Walle J, Wühl E, Ylinen E, Zurowska A, Schaefer F, Montini G
Nat Rev Urol 2022 May;19(5):295-303. Epub 2022 Feb 8 doi: 10.1038/s41585-022-00563-8. PMID: 35136187

Recent clinical studies

Etiology

Mustafa HJ, Khalil A, Johnson S, Gordijn SJ, Ganzevoort W, Melling C, Koh CJ, Mandy GT, Kilby MD, Johnson A, Quintero RA, Ryan G, Shamshirsaz AA, Nassr AA;  on behalf of the LUTO Working Group
Ultrasound Obstet Gynecol 2024 Nov;64(5):635-650. doi: 10.1002/uog.27684. PMID: 38748971Free PMC Article
Kurtz MP
Urol Clin North Am 2023 Aug;50(3):351-359. Epub 2023 May 26 doi: 10.1016/j.ucl.2023.04.006. PMID: 37385699
Capone V, Persico N, Berrettini A, Decramer S, De Marco EA, De Palma D, Familiari A, Feitz W, Herthelius M, Kazlauskas V, Liebau M, Manzoni G, Maternik M, Mosiello G, Schanstra JP, Vande Walle J, Wühl E, Ylinen E, Zurowska A, Schaefer F, Montini G
Nat Rev Urol 2022 May;19(5):295-303. Epub 2022 Feb 8 doi: 10.1038/s41585-022-00563-8. PMID: 35136187
Farrugia MK, Kilby MD
J Pediatr Urol 2021 Apr;17(2):193-199. Epub 2021 Jan 31 doi: 10.1016/j.jpurol.2021.01.034. PMID: 33583743
Ibirogba ER, Haeri S, Ruano R
Prenat Diagn 2020 May;40(6):661-668. Epub 2020 Feb 26 doi: 10.1002/pd.5669. PMID: 32065667

Diagnosis

Mustafa HJ, Khalil A, Johnson S, Gordijn SJ, Ganzevoort W, Melling C, Koh CJ, Mandy GT, Kilby MD, Johnson A, Quintero RA, Ryan G, Shamshirsaz AA, Nassr AA;  on behalf of the LUTO Working Group
Ultrasound Obstet Gynecol 2024 Nov;64(5):635-650. doi: 10.1002/uog.27684. PMID: 38748971Free PMC Article
Kurtz MP
Urol Clin North Am 2023 Aug;50(3):351-359. Epub 2023 May 26 doi: 10.1016/j.ucl.2023.04.006. PMID: 37385699
Capone V, Persico N, Berrettini A, Decramer S, De Marco EA, De Palma D, Familiari A, Feitz W, Herthelius M, Kazlauskas V, Liebau M, Manzoni G, Maternik M, Mosiello G, Schanstra JP, Vande Walle J, Wühl E, Ylinen E, Zurowska A, Schaefer F, Montini G
Nat Rev Urol 2022 May;19(5):295-303. Epub 2022 Feb 8 doi: 10.1038/s41585-022-00563-8. PMID: 35136187
Kunochová Ivana, Gábor Martin, Jr Križko Marián, Alföldi Martin, Totka Adrián, Ferianec Vladimír
Ceska Gynekol 2021;86(2):133-139. doi: 10.48095/cccg2021133. PMID: 34020562
Ibirogba ER, Haeri S, Ruano R
Prenat Diagn 2020 May;40(6):661-668. Epub 2020 Feb 26 doi: 10.1002/pd.5669. PMID: 32065667

Therapy

Capone V, Persico N, Berrettini A, Decramer S, De Marco EA, De Palma D, Familiari A, Feitz W, Herthelius M, Kazlauskas V, Liebau M, Manzoni G, Maternik M, Mosiello G, Schanstra JP, Vande Walle J, Wühl E, Ylinen E, Zurowska A, Schaefer F, Montini G
Nat Rev Urol 2022 May;19(5):295-303. Epub 2022 Feb 8 doi: 10.1038/s41585-022-00563-8. PMID: 35136187
Saccone G, D'Alessandro P, Escolino M, Esposito R, Arduino B, Vitagliano A, Quist-Nelson J, Berghella V, Esposito C, Zullo F
J Matern Fetal Neonatal Med 2020 Aug;33(15):2664-2670. Epub 2019 Jan 4 doi: 10.1080/14767058.2018.1555704. PMID: 30501534
Clayton DB, Brock JW
Curr Urol Rep 2018 Feb 22;19(1):12. doi: 10.1007/s11934-018-0760-9. PMID: 29468448
Morris RK, Middleton LJ, Malin GL, Quinlan-Jones E, Daniels J, Khan KS, Deeks J, Kilby MD; PLUTO Collaborative Group
Ultrasound Obstet Gynecol 2015 Oct;46(4):424-31. Epub 2015 Aug 31 doi: 10.1002/uog.14808. PMID: 25689128
Morris RK, Khan KS, Kilby MD
Arch Dis Child Fetal Neonatal Ed 2007 May;92(3):F166-8. doi: 10.1136/adc.2006.099820. PMID: 17449853Free PMC Article

Prognosis

Mustafa HJ, Khalil A, Johnson S, Gordijn SJ, Ganzevoort W, Melling C, Koh CJ, Mandy GT, Kilby MD, Johnson A, Quintero RA, Ryan G, Shamshirsaz AA, Nassr AA;  on behalf of the LUTO Working Group
Ultrasound Obstet Gynecol 2024 Nov;64(5):635-650. doi: 10.1002/uog.27684. PMID: 38748971Free PMC Article
Kurtz MP
Urol Clin North Am 2023 Aug;50(3):351-359. Epub 2023 May 26 doi: 10.1016/j.ucl.2023.04.006. PMID: 37385699
Capone V, Persico N, Berrettini A, Decramer S, De Marco EA, De Palma D, Familiari A, Feitz W, Herthelius M, Kazlauskas V, Liebau M, Manzoni G, Maternik M, Mosiello G, Schanstra JP, Vande Walle J, Wühl E, Ylinen E, Zurowska A, Schaefer F, Montini G
Nat Rev Urol 2022 May;19(5):295-303. Epub 2022 Feb 8 doi: 10.1038/s41585-022-00563-8. PMID: 35136187
Farrugia MK
Early Hum Dev 2020 Nov;150:105189. Epub 2020 Sep 10 doi: 10.1016/j.earlhumdev.2020.105189. PMID: 32978001
Enninga EA, Ruano R
Minerva Pediatr 2018 Jun;70(3):263-269. Epub 2017 Nov 21 doi: 10.23736/S0026-4946.17.05105-2. PMID: 29160637

Clinical prediction guides

Menchaca AD, Olutoye OO
Fetal Diagn Ther 2024;51(6):603-611. Epub 2024 Jul 26 doi: 10.1159/000540198. PMID: 39068932
Mustafa HJ, Khalil A, Johnson S, Gordijn SJ, Ganzevoort W, Melling C, Koh CJ, Mandy GT, Kilby MD, Johnson A, Quintero RA, Ryan G, Shamshirsaz AA, Nassr AA;  on behalf of the LUTO Working Group
Ultrasound Obstet Gynecol 2024 Nov;64(5):635-650. doi: 10.1002/uog.27684. PMID: 38748971Free PMC Article
Kurtz MP
Urol Clin North Am 2023 Aug;50(3):351-359. Epub 2023 May 26 doi: 10.1016/j.ucl.2023.04.006. PMID: 37385699
Keil C, Bedei I, Sommer L, Koemhoff M, Axt-Fliedner R, Köhler S, Weber S
J Matern Fetal Neonatal Med 2022 Dec;35(25):8536-8543. Epub 2021 Oct 15 doi: 10.1080/14767058.2021.1988562. PMID: 34652254
Farrugia MK
Early Hum Dev 2020 Nov;150:105189. Epub 2020 Sep 10 doi: 10.1016/j.earlhumdev.2020.105189. PMID: 32978001

Recent systematic reviews

Saccone G, D'Alessandro P, Escolino M, Esposito R, Arduino B, Vitagliano A, Quist-Nelson J, Berghella V, Esposito C, Zullo F
J Matern Fetal Neonatal Med 2020 Aug;33(15):2664-2670. Epub 2019 Jan 4 doi: 10.1080/14767058.2018.1555704. PMID: 30501534
Nassr AA, Shazly SAM, Abdelmagied AM, Araujo Júnior E, Tonni G, Kilby MD, Ruano R
Ultrasound Obstet Gynecol 2017 Jun;49(6):696-703. doi: 10.1002/uog.15988. PMID: 27270578
Tonni G, Vito I, Ventura A, Grisolia G, De Felice C
Arch Gynecol Obstet 2013 Feb;287(2):187-94. Epub 2012 Nov 9 doi: 10.1007/s00404-012-2615-9. PMID: 23138754
Clark TJ, Martin WL, Divakaran TG, Whittle MJ, Kilby MD, Khan KS
Obstet Gynecol 2003 Aug;102(2):367-82. doi: 10.1016/s0029-7844(03)00577-5. PMID: 12907115

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