PMID- 12509716 OWN - NLM STAT- MEDLINE DCOM- 20030507 LR - 20191106 IS - 1098-3600 (Print) IS - 1098-3600 (Linking) VI - 4 IP - 6 DP - 2002 Nov-Dec TI - Prenatal diagnosis from fetal urine in bladder outlet obstruction: success rates for traditional cytogenetic evaluation and interphase fluorescence in situ hybridization. PG - 444-7 AB - PURPOSE: To determine the optimal approach to the prenatal chromosome analysis of fetal urine from fetuses with bladder outlet obstruction. METHODS: Retrospective evaluation of traditional cytogenetic and interphase fluorescence in situ hybridization (FISH) analysis on fetal urine specimens from fetuses with bladder outlet obstruction. RESULTS: Traditional cytogenetic analysis was successful on 71 (95%) of 75 samples, and FISH was informative on 20 (65%) of 31 specimens. The combination of traditional cytogenetic analysis and FISH yielded a 96% diagnostic success rate. The mean turnaround time was 8 days (range 5-14) for traditional cytogenetic analysis and 1.6 days (range 1.0-4.0) for FISH. Chromosome abnormalities were detected in 6 (7.9%) of 76 pregnancies. CONCLUSION: Traditional cytogenetic analysis achieves a high success rate (95%) and is superior to FISH for chromosome evaluation of fetal urine. However, FISH, when informative, can complement traditional cytogenetics as it will expeditiously rule out common trisomies in fetuses with bladder outlet obstruction. FAU - Donnenfeld, Alan E AU - Donnenfeld AE AD - Genzyme Genetics, Philadelphia, Pennsylvania, USA. FAU - Lockwood, David AU - Lockwood D FAU - Custer, Trace AU - Custer T FAU - Lamb, Allen N AU - Lamb AN LA - eng PT - Journal Article PL - United States TA - Genet Med JT - Genetics in medicine : official journal of the American College of Medical Genetics JID - 9815831 SB - IM MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Karyotyping/*methods MH - Pregnancy MH - Prenatal Diagnosis/*methods MH - Urinary Bladder Neck Obstruction/congenital/diagnosis MH - Urine/*cytology EDAT- 2003/01/02 04:00 MHDA- 2003/05/08 05:00 CRDT- 2003/01/02 04:00 PHST- 2003/01/02 04:00 [pubmed] PHST- 2003/05/08 05:00 [medline] PHST- 2003/01/02 04:00 [entrez] AID - 10.1097/00125817-200211000-00008 [doi] PST - ppublish SO - Genet Med. 2002 Nov-Dec;4(6):444-7. doi: 10.1097/00125817-200211000-00008.