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20 wk IUP, megacystis, anhydramnios, gender unknownFrom: dr. peterman (peterman@proteus.com)Wed Mar 22 19:02:58 2000
25 y/o WF G1P0 with class B diabetes and a 20 week sonogram that shows anhydramnios and megacystis suggesting urethral level obstruction. Sonogram does not reveal the fetus' gender. Single kidney identified. Ureters not dilated, but image quality poor due to anhyramnios. What is the standard of care for this patient? Does in utero urinary tract diversion have a role in her care? How is in utero urinary tract diversion performed? What role does serial fetal urinalyses have in deciding her candidacy for diversion? p.peterman.
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