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The doctor wasn’t optimistic after finding a problem with their unborn baby, but Tara and Travis Markel weren’t ready to give up. For more: http://www.chop.edu/fetal20. Tara and Travis first learned something was wrong with their unborn baby boy when they went in for a routine screening with a maternal-fetal medicine specialist. The baby’s bladder was the size of his head, indicating an obstruction. In their research, they found The Children’s Hospital of Philadelphia’s Center for Fetal Diagnosis and Treatment, and the more they learned, the more they knew it was where they needed to be. After an all-day comprehensive evaluation at CHOP, doctors confirmed the diagnosis as lower urinary tract obstruction (LUTO), a rare birth defect in which there is a partial or complete obstruction of the urethra, the tube that connects the bladder to the amniotic fluid space around the fetus. This obstruction restricts or prevents the passage of urine. The prognosis did not look good, but the Markels learned that their child was a candidate to receive a fetal shunt, a hollow tube that temporarily bypasses the LUTO and provides an alternate passageway for urine to go from the bladder through the abdominal wall to the amniotic fluid space around the fetus. This allows for drainage of the urinary tract and bladder and establishes fluid around the fetus, which is necessary for lung development. At 19 weeks, Tara underwent the fetal shunt procedure. At 37 weeks, Owen was born. Urinary tract obstructions come in a variety of forms. After Owen’s birth, the team at CHOP confirmed his specific LUTO as urethral atresia. As a result of the obstruction, Owen’s abdomen had swelled with fluid, causing a wrinkled abdomen, known as prune belly syndrome. Shortly after birth, he underwent a vesicostomy — a procedure that creates an opening below the belly button to allow his bladder to drain directly into a diaper. Now 1 year old, Owen keeps his parents on their toes with the occasional curveball. He has a journey ahead of him when it comes to his treatment and procedures, but you’d never know it from his sweet grin and big personality.