Long-Term Followup of Bilateral High (Sober) Urinary Diversion in Patients With Posterior Urethral Valves and Its Effect on Bladder Function

Abstract

In patients with PUV temporary high diversion of the Sober type does not have a negative influence on bladder function. It immediately releases high intrarenal pressures but only improves renal function temporarily and may contribute to postpone the time of end stage renal failure. Renal dysplasia dictates long-term renal outcomes in this group.

Follow Up With Clinical Characteristics and Somatic Growth in Posterior Urethral Valve

“…Gangopadhyay (2003) reported a similar incidence of 3.5 per 1000 pediatric surgical OPD cases [8]. In western countries incidence was ranging from 1/4000 to 1/7500 births, 1/3000 and 1/8000 male births and 1/5000-1/8000 male live births by Miguel et al (2000), Mazen et al (2005) and Caione et al (2011) respectively [9][10][11] . In our study it was 6.375/1000 pediatric surgical OPD cases.…”

Controlled Outcomes for Achievement of Urinary Continence among Boys Treated for Posterior Urethral Valves

“…Early valve ablation has been reported to lead to better bladder compliance and function than supravesical diversion. 13,26 Jayanthi 27 and Close 28 et al noted that patients with urinary diversion were more likely to need bladder augmentation in the future. A requirement for primary bladder diversion has been associated with later age at toilet training, 28 although these patients also are often the most severely ill. 29,30 In our study ring type supravesical diversion to allow bladder cycling was performed only for patients with especially poor kidney function, and they had a nonsignificant trend for later toilet training age than patients without stoma.…”

Long-Term Urinary Bladder Function Following Unilateral Refluxing Low Loop Cutaneous Ureterostomy

“…Two studies have shown that urinary diversion obtained by ureterostomies does not have a negative influence on bladder function [12,13]. On the other hand, a retrospective study revealed that the long-term bladder function of patients with PUV treated with supravesical diversion was adversely affected [14].…”