How to treat fetal bladder cysts?

When you are more than 7 months pregnant, you go to the hospital to check the condition of the fetus. Some friends are found to have bladder cysts. Basically, it is mainly a cyst in the ureter, not the bladder cyst as we often say. Many parents and friends have problems with this, so there are some problems in the usual diagnosis and treatment. So what should we do if the baby has ureteral cysts?

Ureteroceles are caused by congenital stenosis or functional contracture of the ureteral orifice and incomplete development of the ureteral wall, resulting in the formation of a cyst in the lower layers of the ureter that protrudes into the bladder. Therefore, the outer layer of the cyst is the bladder mucosa, the inner layer is the ureteral mucosa, and between the two is a very thin ureteral muscle layer.

A ureterocele is a cystic dilation of the end of the ureter. During embryonic development, the diaphragm between the ureter and the urogenital sinus is not absorbed and disappears, resulting in varying degrees of stenosis of the ureteral orifice. It may also be caused by factors such as weak fibrous structure at the end of the ureter or excessive length and curvature of the intramural segment, which, after impact by urine flow, forms a cystic expansion that protrudes into the bladder. In early cases, there may be no clinical symptoms and the disease is often only discovered when diagnosing severe renal malformation. The main symptoms are urinary tract obstruction, causing recurrent urinary tract infections. Because the cyst opening is small, persistent obstruction of the ureteral orifice can lead to hydroureteral and kidney hydrops, loss of renal function, dysuria or interruption of urine flow due to cyst obstruction of the bladder neck, and recurrent urinary tract infections. Sometimes, in girls, cysts can protrude from the urethral opening through the bladder neck and urethra and can usually be repositioned on their own. However, it may also become incarcerated and form a purple tumor. The principles of treatment are to relieve obstruction, prevent reflux, and deal with complications. If the upper kidney on the affected side has poor function, hemi-nephrectomy can be performed. About 20-25% of cases still have symptoms after surgery, and the cyst should be treated at this time.

You don’t need to worry too much at ordinary times, the problem is not particularly serious. You should go to the hospital for regular check-ups. Don’t think too much at ordinary times, don’t add some burden to your mind, and you must pay attention to maintaining a regularity in your life. You can walk around more at ordinary times.