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Practices Retrospective cohort study of all of the VAS before 14 weeks at two tertiary fetal medicine centres from 2015 to 2018 using a Somatex® intrauterine shunt. All clients with an initial trimester diagnosis of megacystis in male fetuses with a longitudinal kidney diameter of at least 15 mm were provided VAS. All clients that opted for VAS after counselling by prenatal medicine experts, neonatologists and pediatric nephrologists had been contained in the research. Charts were evaluated for