Adult posterior urethral valve: a case report

Kilciler, Mete; Başal, Şeref; Irkılata, Hasan Cem; Zor, Murat; İstanbulluoğlu, Mustafa Okan; Dayanç, Murat

doi:10.3205/000097

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Thakkar et al reported only 3 of 71 patients diagnosed after the age of 5 [2] while Petersen et al found 12 (6,6%) of patients diagnosed over the age of 5 through 28 years [3]. Due to differences in the severity of the obstruction, they can manifest shortly after birth or rarely as late as adulthood [4]. Surprisingly our patient had only diurnal enuresis and abdominal pain possibly caused by hydronephrosis.…”

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confidence: 50%

Persistent diurnal enuresis in a 6-year-old boy after bilateral ureteroneocystostomy

Szawłoga

Orzechowska

Sobieszczańska-Droździel

2023

J Educ Health Sport

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Urinary incontinence is one of the most common symptoms in children and adolescents. Due to numerous causes, a thorough examination is necessary. We present a case of a 6-year-old boy with diurnal enuresis, who was admitted to our Department for further treatment after the procedure of bilateral ureteroneocystostomy due to suspected bilateral ureter stenosis. With the persistence of the incontinence, our examination revealed a posterior urethral valve which was incised and the symptoms subsided.

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confidence: 50%

Persistent diurnal enuresis in a 6-year-old boy after bilateral ureteroneocystostomy

Szawłoga

Orzechowska

Sobieszczańska-Droździel

2023

J Educ Health Sport

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“…PUV is a rare disorder, affecting between 2.2-4 per 10,000 (0.02%-0.04%) births in Nigeria [ 4 , 5 ] and between 0.4-1 per 10,000 (0.004%-0.0125%) births in the United States [ 6 , 3 ], yet it is the most common cause of urinary outflow obstruction in pediatric patients and the most common cause of renal failure (17%) from obstructive uropathy in childhood [ 1 , 4 ]. PUV is found to have a higher incidence in Blacks and in children with Down's syndrome.…”

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confidence: 99%

Posterior urethral valve: A case report in an older Nigerian child

Ikhuoriah

Oboh

Abramowitz

et al. 2023

Radiology Case Reports

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Posterior Urethral Valves in a Healthy-Appearing Athletic Adult: A Case Report

Liu,

Qureshi,

Aziz

2024

Cureus

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Posterior urethral valves (PUV) are a congenital malformation of the male urethra where the posterior opening connecting to the bladder is covered by membranous folds. Most cases are diagnosed antenatally, with postnatal cases typically diagnosed and surgically repaired within the first years of life. Delayed presentation beyond infancy is rare, with presentation into adulthood being exceedingly rare, especially in the United States. We present a case of an 18-year-old healthy-appearing athletic male who presented with delayed presentation of PUV. This patient with no significant past medical history presented to the emergency room upon referral by his primary care physician, who denoted incidental findings of elevated blood pressure and acute renal failure at his annual physical examination. This led to further investigation, including a full renal blood workup, bilateral renal ultrasound, and voiding cystourethrogram, which revealed severe bilateral hydronephrosis, cortical thinning, and diverticula of the bladder, prompting a diagnosis of PUV. The patient underwent laser valve ablation surgery, although unfortunately, the surgery will prevent symptoms from progressing but is unlikely to reverse the current stage of chronic kidney damage. Even though delayed presentation of PUV is rare, it is important to recognize that patients may have a long history of renal complaints and may have normalized and internalized their symptoms. Physicians should take detailed and holistic medical histories and create a safe, non-judgmental environment to build rapport with young adult patients, ensuring early and effective medical intervention.

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Adult posterior urethral valve: a case report

Cited by 3 publications

References 10 publications

Persistent diurnal enuresis in a 6-year-old boy after bilateral ureteroneocystostomy

Persistent diurnal enuresis in a 6-year-old boy after bilateral ureteroneocystostomy

Posterior urethral valve: A case report in an older Nigerian child

Posterior Urethral Valves in a Healthy-Appearing Athletic Adult: A Case Report

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