FETAL URINE ANALYSIS FOR THE ASSESSMENT OF RENAL-FUNCTION IN OBSTRUCTIVE UROPATHY

OBJECTIVES: The assessment of fetal renal function plays a key role in the evaluation of posterior urethral valve obstruction cases. The aim of our study was to determine the value of several urinary compounds, including beta2-microglobulin, N-acetyl-beta-D-glucosaminidase, and microalbumin in the assessment of prenatal renal function in cases of posterior urethral valve and their potential role in the selection of such cases for in utero shunting. STUDY DESIGN: A range of urinary compounds was measured, including beta2-microglobulin, N-acetyl-beta-D-glucosaminidase, and microalbumin in 25 cases of posterior urethral valve obstruction. These cases were divided into four groups based on outcome. The Mann-Whitney test and analysis of covariance were used. RESULTS: Sodium, calcium, and beta2-Microglobulin were the best predictors for fetal survival. Beta2-microglobulin values > 13 mg/L were almost invariably associated with fatal outcome. CONCLUSION: The estimation of beta2-microglobulin may help in counseling parents and in selecting cases for in utero shunting.