The mild end of the clinical spectrum of posterior urethral valves

Pieretti, Rafael V.

doi:10.1016/0022-3468(93)90036-k

Cited by 50 publications

(32 citation statements)

References 3 publications

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“…Few studies explored mild or late-diagnosed PUV, their presenting symptoms and outcomes after valve ablation. The results of the present study are consistent with those published previously, describing mild forms of PUV, but they underscore the slow resolution or occasional persistence of presenting symptoms [11,12].…”

Section: Resultssupporting

confidence: 82%

Outcome of valve ablation in late‐presenting posterior urethral valves

Schober

Dulabon

Woodhouse³

2004

BJU International

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variables including an assessment of enuresis, voiding frequency and ultrasonography. The mean (range) follow-up was 25 (1-78) months. One patient was lost after his first follow-up visit, but data were included to that time. RESULTSThe most common presenting symptom was voiding dysfunction; 47 (67%) presented with nocturnal enuresis, 42 (60%) with urinary frequency and 12 (17%) with a history of urinary tract infection. On physical examination 12 (17%) had mild age-corrected hypertension. Microhaematuria was present in 21 (30%) but all patients had normal serum creatinine levels. Ultrasonography showed hydronephrosis in 33 (47%) and a postvoid residual volume in 57 (81%). On VCUG, 52 (79%) patients had clear evidence of PUV, 22 (31%) bladder trabeculation, 11 (16%) vesicoureteric reflux and eight (11%) diverticula. On cystoscopy, 67 (96%) patients presented with the classic sail-shaped PUV and three a ringshaped valve. After surgical ablation of the valve most patients dramatically improved; 31 of 42 (74%) had resolution of urinary frequency, 24 of 33 (73%) of diurnal enuresis and 17 of 47 (38%) nocturnal enuresis. Of 57 patients, 39 (68%) established good bladder emptying. Of 33 affected, 20 (60%) had some reduction of hydronephrosis but 63% continued to have some symptoms of voiding dysfunction.

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Section: Resultssupporting

confidence: 82%

Outcome of valve ablation in late‐presenting posterior urethral valves

Schober

Dulabon

Woodhouse³

2004

BJU International

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“…Various factors have been studied Age at diagnosis has been used as an indicator for longterm outcome. Some authors have reported that the younger the age at presentation the poorer will be the prognosis [6]. Contrary to this, others believe that late presentation is associated with a much poorer outcome [7].…”

Section: Discussionmentioning

confidence: 97%

Risk factors for progression to end-stage renal disease in children with posterior urethral valves

Ansari

Gulia

Srivastava

et al. 2010

Journal of Pediatric Urology

100

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“…Mean age 3 months 22 days. Eight (8) were suspected in antenatal period (13%) on ultrasound showing bilateral hydronephrosis and large distended urinary bladder, later confirmed on VCUG after birth. Thirty one (31) patients (52%) presented within neonatal period of life (within 28 days of life), sixteen (16) children (27%) presented within one year (1 year) of life and 5 children (8%) at the age group between 3 to 5 years.…”

Section: Resultsmentioning

confidence: 99%

“…In one study, it was reported in 23% of cases 7,8 while it was seen in 7% cases in Guys' hospital, UK series. 8 Aims and Objectives PUV is a common cause of lower urinary tract obstruction. Delay in the diagnosis and management leads to renal damage resulting in End Stage Renal Disease (ESRD).…”

mentioning

confidence: 99%