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Postnatal Surgical Repair for LUTO (8 of 9)

3,862 views · Published 17 November 2011 · 3:03 · Indexed 22 October 2026

Channel: The Children's Hospital of Philadelphia · 2011 · Science & Technology

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Once babies with LUTO are born, they are evaluated by neonatologists, urologists and nephrologists to determine a treatment plan. http://fetalsurgery.chop.edu

After delivery, babies with lower urinary tract obstruction (LUTO) are stabilized and transported to the Newborn/Infant Intensive Care Unit (N/IICU) where they are assessed for lung function, undergo imaging studies of kidney function and bladder function, and have their urine output measured. Results from these tests allow pediatric urologists and nephrologists to determine the exact cause of the obstruction and counsel families about what they can expect in the short and long term, and options for postnatal surgical repair of LUTO.

There are different types of LUTO surgery. The treatment approach depends on the severity of your child’s condition. LUTO experts at Children's Hospital of Philadelphia explain that for posterior urethral valves, postnatal surgical repair typically involves resection (surgical removal) of the valves. In more complicated cases, a vesicostomy is performed to divert urine until the baby is healthy or old enough to undergo surgical treatment. In cases of urethral atresia, urethral reconstruction may be required.

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