Evidence map›Paper›PMID 39994551›Full record

ArticleBMC pediatrics2025

Postnatal surgical complications in lower urinary tract obstruction following fetal vesico- amniotic shunting.

Anna Meßling, Anna-Maria Ziegler, Jochen Hubertus, Christoph Berg, Matthias Nissen, Andreas Heydweiller, Eva Weber

Abstract readMulticenter Study
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anna MeßlingDepartment of Pediatric Surgery, Ruhr- Universität Bochum, Bochum, Germany. Anna.Messling@elisabethgruppe.de.
Anna-Maria ZieglerDepartment of Pediatric Surgery, Universitätsklinikum Bonn, Bonn, Germany.
Jochen HubertusDepartment of Pediatric Surgery, Ruhr- Universität Bochum, Bochum, Germany.
Christoph BergDepartment of Obstetrics and Gynecology, Division of Prenatal Medicine, Universitätsklinikum Köln, Cologne, Germany.
Matthias NissenDepartment of Pediatric Surgery, Ruhr- Universität Bochum, Bochum, Germany.
Andreas HeydweillerDepartment of Pediatric Surgery, Universitätsklinikum Bonn, Bonn, Germany.
Eva WeberDepartment of Obstetrics and Gynecology, Division of Prenatal Medicine, Universitätsklinikum Köln, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFetal lower urinary tract obstruction (LUTO) is a rare congenital disease associated with high morbidity and mortality due to pulmonary hypoplasia and renal insufficiency. Fetal management includes early vesicoamniotic shunting (VAS), a technique that has evolved in recent years to preserve kidney function. Previous publications have focused on intrauterine shunt complications, such as dislocation and preterm premature rupture of membranes (PPROM). In our study we aimed to assess postnatal shunt related complications that became obvious after birth. MATERIALS AND

methodsWe describe our preliminary experience with 25 fetuses who underwent VAS with a Somatex

resultsTwenty-five fetuses underwent VAS at a median of 17 weeks. Two newborns were excluded because they died within the first 24 hours of life secondary to fulminant lung hypoplasia. In ten (43%) newborns, shunt removal was performed under local anaesthesia. In 13 (57%) neonates, the shunt was explanted surgically, and five (22%) of these operations were defined as complex.

conclusionIntrauterine VAS with a Somatex

Indexed as

Fetal DiseasesFetal TherapiesPostoperative ComplicationsUrethral ObstructionUrinary BladderAmnionFemaleHumansInfant, NewbornMalePregnancyRetrospective StudiesCongenital urinary tract abnormalitiesFetal surgeryLower urinary tract obstructionNeonatal surgeryShunt complicationsVesico-amniotic shunt

Identifiers

PMID39994551
PMCPMC11849326

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.