Obstruction of the Posterior Urethral Valve in Infancy and Childhood

Campbell, Meredith F.

doi:10.1001/jama.1931.02720340022006

Cited by 10 publications

(5 citation statements)

References 7 publications

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“…Pathogenetically there can be no doubt that posterior urethral valves are congenital but occur sporadically, although rare familial cases have been reported [2,3,7]. The coincidence of other malformations is reported to be less than 20% [2,6], To explain the genesis of urethral valves, several the ories of embryological development, partially controver sial, have been proposed.…”

Section: Possible Embryological Development Of Posterior Urethral Valvesmentioning

confidence: 99%

“…The coincidence of other malformations is reported to be less than 20% [2,6], To explain the genesis of urethral valves, several the ories of embryological development, partially controver sial, have been proposed.…”

Section: Possible Embryological Development Of Posterior Urethral Valvesmentioning

confidence: 99%

“…Whether there is failure of Cowper's gland migration as a concomitant lesion can only be speculated [2].…”

Section: Possible Embryological Development Of Posterior Urethral Valvesmentioning

confidence: 99%

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Posterior Urethral Valves: Theoretical Considerations on Embryological Development

Dh¹,

Jw²,

Riedmiller³

1982

Eur Urol

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Section: Possible Embryological Development Of Posterior Urethral Valvesmentioning

confidence: 99%

Section: Possible Embryological Development Of Posterior Urethral Valvesmentioning

confidence: 99%

See 1 more Smart Citation

Posterior Urethral Valves: Theoretical Considerations on Embryological Development

Dh¹,

Jw²,

Riedmiller³

1982

Eur Urol

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“…Posterior urethral valves are congenital. [10][11][12] Although congenital, valves do not seem to have a genetic basis. Most cases have been sporadic.…”

mentioning

confidence: 99%

“…Rare familial cases have been reported. 11,[13][14][15] The clinical presentation of the child with posterior urethral valves depends on the age of the patient at the time of presentation, which in turn is often related to the severity of the obstruction. A palpably enlarged bladder is the most common clinical finding regardless of age.…”

mentioning

confidence: 99%

Posterior Urethral Valves- Our Experience

Singh¹,

Javan²,

K³

2017

jemds

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BACKGROUND Posterior Urethral Valve (PUV) is the most common structural cause of urinary outflow obstruction in paediatric practice. It is also the most common type of obstructive uropathy leading to childhood renal failure. This study was carried out to evaluate the various clinical presentations, investigations, surgical management, complications and outcome of PUV in our region. MATERIALS AND METHODS For the study, a total of 45 patients who had attended the Outpatient Department of Surgery during the period from 2010 to 2016 were included. The selection of the patients was done based on clinical history, clinical examination, laboratory tests and radiological and cystoscopy examinations. Patient above 12 years of age and patient with spinal dysraphism were excluded from the study. RESULTS The commonest age group at the time of presentation is 1-< 5 yrs. comprising about 53.3% and second commonest is the group of 0-< 3 months comprising about 26.7%. In this present study obstructive symptoms, i.e. poor urinary stream and urinary dribbling and a palpable bladder are the most common mode of presentation which occur in 33 cases (73.33%) of posterior urethral valves. In 30 cases (66.67%) of posterior urethral valves blood urea levels were above normal, while serum creatinine levels had significantly raised in 36 cases (80%) at the time of admission. In this study electrolyte abnormality was observed in 30 cases (33.33%) at the time of admission, which returned to within normal range after initial resuscitation. The most common cystoscopic finding during evaluation of children are Type-I urethral valves in the posterior part of urethra with trabeculation of bladder walls. Urinary incontinence is the most common post-operative complication observed in this present study, which persists in 12 cases even at the time of discharge. CONCLUSION The potential of PUV to cause renal failure in infants and children if not treated on time should necessitate for early diagnosis and treatment of this condition. These seemingly simple but with a devastating potential should be dealt timely and properly. The need for a prolonged followup should be emphasised to the parents for a better overall outcome and to minimise long-term complications.

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Anomalies of the Urethra

Waterhouse¹

1968

Malformations

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Obstruction of the Posterior Urethral Valve in Infancy and Childhood

Cited by 10 publications

References 7 publications

Posterior Urethral Valves: Theoretical Considerations on Embryological Development

Posterior Urethral Valves: Theoretical Considerations on Embryological Development

Posterior Urethral Valves- Our Experience

Anomalies of the Urethra

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