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Lower urinary tract obstruction is a morbid congenital anomaly that can be treated prenatally. Kilby & Morris discuss the importance of accurate diagnosis and case selection to optimize outcomes ofin utero intervention, before reviewing the evidence and outcome data for in uterovesicostomy, vesicoamniotic shunting and fetal cystoscopy.
Optimization of the care that paediatric patients with congenital urological anomalies receive as they transition to adult health care could improve clinical outcomes and quality of life. Dan Wood discusses the challenges associated with the provision of lifelong urological care, highlighting the need for development of academic and health systems.
