Current Management of Prenatally Diagnosed Lower Urinary Tract Obstruction (LUTO)

This enduring material continuing education activity is intended to meet the educational needs and practice skills of physicians, advanced practice nurses, nurses, and other healthcare professionals in the fields of maternal fetal medicine, obstetrics, radiology, genetics, neonatology, pediatric surgery, urology, pediatrics, anesthesiology and family practice.

Among the many issues clinicians face today, staying current with advances in prenatal diagnosis, perinatal management, and surgical repair and postnatal care of congenital anomalies is becoming a major challenge. This enduring material activity will provide participants a foundation and framework to confidently diagnose and evaluate fetal lower urinary tract obstructions (LUTO), and determine the appropriate timing for management from the prenatal through postnatal period.

Each lecture in this course incorporates evidence-based diagnostic techniques, current options and criteria for fetal intervention, guidelines for neonatal and pediatric surgical management and a discussion of outcomes associated with this defect. In addition, these lectures include a discussion of current research and contemporary case studies. The intent is to enhance clinicians’ skill in evaluating counseling, managing pregnancies and caring for neonates with prenatally diagnosed LUTO.

Upon completion of this enduring material, participants will be able to:

  1. Outline salient points for lower urinary tract obstruction (LUTO) and implications for prenatal counseling practice
  2. Recognize spectrum of severity for LUTO and available in utero treatment options
  3. Discuss postnatal management options and outcomes associated with this life-threatening congenital anomalies
  4. Discuss pediatric complications associated with prenatally diagnosed LUTO

AMA Credit Designation Statement

The Children’s Hospital of Philadelphia designates this enduring material for a maximum 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Advanced Practice Nurse and Registered Nurse Participation

Advanced practice providers (APP), nurses and respiratory therapists who complete this enduring material educational activity will need to follow the instructions in the “Method of Participation” section and will be eligible to receive a certificate of completion, which may be used for re-licensure and re-certification. For further information, please contact Kathleen Monforto, PhD, MSN, RN, CPN, Education Nurse Specialist, at