{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T02:56:33Z","timestamp":1784256993082,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T00:00:00Z","timestamp":1422316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the surgical technical aspects associated with the development of urological fistulas after fetal antegrade cystoscopic laser fulguration of the posterior urethral valves (<jats:styled-content style=\"fixed-case\">PUV<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The perioperative data for all fetal cystoscopies performed between January 2004 and August 2013 at three institutions in the <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>, France and Brazil were reviewed, with particular emphasis on surgical technical aspects of the procedure and the complications encountered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 40 fetal cystoscopies were performed at the three institutions. Laser fulguration of the <jats:styled-content style=\"fixed-case\">PUV<\/jats:styled-content> was performed in 23 of these cases, with a survival rate of 60.9% (14\/23) and normal renal function in 85.7% (12\/14) of these infants. Urological fistulas were diagnosed postnatally in four (10%) newborns. The presence of fistulas was associated with a higher gestational age at diagnosis of <jats:styled-content style=\"fixed-case\">PUV<\/jats:styled-content> (<jats:italic>P\u2009&lt;\u20090.01<\/jats:italic>) and with the use of semi\u2010curved rather than curved sheaths (<jats:italic>P\u2009&lt;\u20090.01<\/jats:italic>), the use of a diode laser (<jats:italic>P\u2009&lt;\u20090.01<\/jats:italic>) and the use of higher laser power and energy (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009<jats:italic>0.01<\/jats:italic> and <jats:italic>P\u2009&lt;\u20090.01<\/jats:italic>, respectively), as well as with less operator experience (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) and with absence of fetal anesthesia\/immobilization (<jats:italic>P<\/jats:italic>\u2009=\u20090.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Urological fistulas are a severe complication of fetal cystoscopic laser fulguration of <jats:styled-content style=\"fixed-case\">PUV<\/jats:styled-content> and are associated with type, energy and power settings of the laser and instrumentation. The use of appropriate technique and proper training of the operator are necessary to perform this fetal intervention safely. Copyright \u00a9 2014 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.13405","type":"journal-article","created":{"date-parts":[[2014,5,10]],"date-time":"2014-05-10T14:07:05Z","timestamp":1399730825000},"page":"183-189","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":57,"title":["Urological fistulas after fetal cystoscopic laser ablation of\u00a0posterior urethral valves: surgical technical aspects"],"prefix":"10.1002","volume":"45","author":[{"given":"N.","family":"Sananes","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology H\u00f4pitaux Universitaires de Strasbourg  Strasbourg France"},{"name":"INSERM UMR\u2010S 1121, Biomat\u00e9riaux et Bioing\u00e9nierie  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Favre","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology H\u00f4pitaux Universitaires de Strasbourg  Strasbourg France"},{"name":"INSERM UMR\u2010S 1121, Biomat\u00e9riaux et Bioing\u00e9nierie  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. J.","family":"Koh","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Baylor College of Medicine  Houston TX USA"},{"name":"Texas Children's Fetal Center Texas Children's Hospital Pavilion for Women  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Zaloszyc","sequence":"additional","affiliation":[{"name":"Department of Pediatrics H\u00f4pitaux Universitaires de Strasbourg  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. C.","family":"Braun","sequence":"additional","affiliation":[{"name":"Texas Children's Fetal Center Texas Children's Hospital Pavilion for Women  Houston TX USA"},{"name":"Division of Pediatric Nephrology Baylor College of Medicine  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. R.","family":"Roth","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Baylor College of Medicine  Houston TX USA"},{"name":"Texas Children's Fetal Center Texas Children's Hospital Pavilion for Women  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Moog","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery H\u00f4pitaux Universitaires de Strasbourg  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Becmeur","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery H\u00f4pitaux Universitaires de Strasbourg  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. A.","family":"Belfort","sequence":"additional","affiliation":[{"name":"Texas Children's Fetal Center Texas Children's Hospital Pavilion for Women  Houston TX USA"},{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Ruano","sequence":"additional","affiliation":[{"name":"Texas Children's Fetal Center Texas Children's Hospital Pavilion for Women  Houston TX USA"},{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,1,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1074"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1999.14060402.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.81"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.790"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-012-2390-7"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2009.03.010"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02194.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2007.06.005"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2008.00940.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2006.099820"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000171117.38929.eb"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60992-7"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(00)00500-8"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.226"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)05084-4"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.717"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000102933.25905.08"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000111585"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6292"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767050903443491"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2418"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.8981"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2736"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.8963"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.13293"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02500.x"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1534"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6413"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.13405","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.13405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T05:09:09Z","timestamp":1696482549000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.13405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,27]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1002\/uog.13405"],"URL":"https:\/\/doi.org\/10.1002\/uog.13405","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,27]]},"assertion":[{"value":"2014-01-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-04-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-01-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}