Posterior urethral valves (PUV) are the commonest cause of lower urinary tract obstruction
detected during the antenatal and immediate postnatal period in male fetuses. Treatment
options for PUV during the antenatal period include percutaneous vesico-amniotic shunt,
fetoscopic fulguration of the valve and open fetal cystostomy. We report two cases
of fetal cystoscopic laser valvotomy with fairly similar pre-operative profiles but
contrasting postnatal outcomes, which re-iterates the fact that case selection in
such cases continues to be a challenge. These are the first case reports on fetoscopic
laser valvotomy in India to the best of our knowledge.
Keywords
Lower urinary tract obstruction - LUTO - Posterior urethral valves - Laser ablation
- Fetal cystoscopy
