Posterior urethral valves

Perks, Alexandra E.; MacNeily, Andrew E.; Blair, Geoff

doi:10.1053/jpsu.2002.33886

Cited by 9 publications

(4 citation statements)

References 4 publications

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“…Posterior urethral valves are one of the main obstructive uropathies in boys [3] [4] [5], with a variable incidence depending on the series, ranging from 1/5000 male births according to Perks [6] to 1/25,000 for Atwell [7]. The incidence of Posterior Urethra Valve (PUV) compared to other malformative uropathies is also variable.…”

Section: Discussionmentioning

confidence: 99%

Posterior Urethral Valves without Reflux Associated with Bilateral Renal Cortical Atrophy: Diagnosis and Management

Kaba,

Ouo-Ouo,

Hassimiou

et al. 2023

OJPed

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The objective of this case report was to highlight the characteristics of posterior urethral valves observed in a 3-year-old patient and to describe their management. The case of a 4-year-old patient treated for a posterior urethral valve with bilateral renal cortical atrophy was reviewed. The diagnosis was confirmed by abdominal ultrasound, cystography and abdominal CT. He was referred to Martinique (a tertiary health establishment) for effective support. From the acute situation to the fortuitous discovery, its understanding must be deepened because of the potential immediate symptomatic impact in the form of renal colic which can be associated with sepsis, as well as in the long term on renal function. This observation is intended to help the attending physician to initiate his diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Posterior Urethral Valves without Reflux Associated with Bilateral Renal Cortical Atrophy: Diagnosis and Management

Kaba,

Ouo-Ouo,

Hassimiou

et al. 2023

OJPed

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“…The valves of the posterior urethra constitute the most frequent congenital obstructive pathology of the little boy. Its incidence is 1/8000 to 1/25,000 births [3].…”

Section: Discussionmentioning

confidence: 99%

Management of the Valves of the Posterior Urethra in Urology

Kamadjou¹,

Rimtebaye²,

Eyongeta³

et al. 2018

OJU

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Aim: Describe the clinical, radiological and management of patients with posterior urethral valves. Materials and Methods: This was a retrospective descriptive study over a period going from January 2011 to December 2016, reviewing 12 cases of patients treated for valves of the urethra posterior to the medical surgical center of urology in Cameroon at Douala. The variables studied were clinical, paraclinical, therapeutic and evolutionary. Results: In 5 years, we had diagnosed and treated 12 cases of posterior urethral valves, an average of 2.4 per year. The average age of patients was 41.6 months with extrems of 3 and 156 months. The reason for consultation was dominated by urinary tract infections. Urethrocystography and echography were performed in all patients and allowed to objectify a bilateral ureterohydronephrosis, a diverticular bladder in 9 cases and 4 cases of vesico-ureteral reflux, including a grade 4 according to the classification of Cendron, 8 patients suffered from acute urinary failure. Renal scintigraphyrealised on 3 patients had as objective in 1 patient the existence of a disfunctioning kidney. The treatment consisted of an endoscopic incision of the valves (n = 8), a vesicostomy (n = 3) and an iterative urethral dilatation with double J catheter placement (n = 1). The evolution was favorable (n = 7), and 5 cases of death were recorded. Conclusion: The endoscopic incision is the gold-standard of the treatment of the valves of the posterior urethra. The vesicostomy is an alternative in the absence of adequate technical platform. Despite adequate support, the prognosis remains burdened with significant mortality.

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“…Essentially this procedure consists of a supra-pubic catheter performed under ultrasound guidance. The efficacy of this procedure is controversial, as often despite this significant renal and pulmonary morbidity exist [5].…”

Section: Clinical Presentation:-mentioning

confidence: 99%