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Fetal Obstructive Problems: How Are They Treated? - Dr. Lam

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More Videos from Dr. Garrett K. Lam 20 videos in this series

Dr. Garrett Lam explains how fetal obstructive issues are treated. Dr. Lam is an experienced OB/GYN at Banner Good Samaritan Medical Center in Phoenix, Arizona.

Dr. Lam:
One of the things that we commonly do within our fetal therapy center here at Banner Good Samaritan is deal with obstructive issues within the fetus itself, and for example, one of the most common things we see is something called posterior urethral valve syndrome or PUV whereby within the urethra or the tube that allows exit of urine from the body there are actually valves there that prevent the forward flow of urine out of the baby and as a result, all the urine backs up and fully expands the bladder and can actually cause back pressure and destroy the kidneys.

When we see a baby with PUV or posterior urethral valves we get concerned because if the kidneys are damaged and don’t work the baby will likely not survive because they won’t have any kidney function. So what we may try to do is if the kidneys are showing signs that they are working we will actually put a shunt whereby we enter through the maternal uterus and enter into the baby’s body cavity and put a tube from the bladder and that tube exits the baby into the amniotic cavity or the fluid around the baby and we hope that we can help drain that excess urine out into the amniotic fluid around the baby and thereby take pressure off the baby and allow the kidneys to function well.

About Dr. Garrett K. Lam, M.D.:
Dr. Garrett K. Lam is board certified in both Obstetrics and Gynecology and Maternal Fetal Medicine. He received his MD from the University of Rochester, completed his residency training at Banner Good Samaritan Medical Center, then went to the University of North Carolina-Chapel Hill for his fellowship in Maternal Fetal Medicine.

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Condition: Pregnancy, High-Risk Pregnancy, Preeclampsia

Related Terms: Cesarean Section, C-Section, Vaginal Birth, Elective C-Section, Emergency C-Section, Labor, HELLP Syndrome, Intrauterine Growth Restriction, Pregnancy-Induced Hypertension

Health Care Provider: Banner Hospital, Banner Medical Center, Banner Health, Banner Good Samaritan Medical Center, Banner Good Samaritan Hospital, Banner Good Sam

Location: Phoenix, Arizona, AZ, 85006, Tempe, Scottsdale, Mesa, Maricopa County, Phoenix Metropolitan Area

Expert: Dr. Garrett K. Lam, Garrett Lam, M.D., Doctor Garrett Lam, Obstetrician Dr. Garrett Lam, Dr. Garrett Lam, OB/GYN

Expertise: High-Risk Pregnancy, Cesarean Section, C-Section, Obstetrics and Gynecology, Maternal Fetal Medicine, Perinatal Care, Birthing Services, Fetal Assessment, Fetal Therapy, Fetal Intervention, Premature Babies

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