Antenatally Diagnosed Posterior Urethral Valves: A Dilemma

Outcome of Antenatally Presenting Posterior Urethral Valves (PUV) in Children.

BACKGROUND To analyze the outcome of children with posterior urethral valves who presented with antenatal hydronephrosis. METHODS A 10-year retrospective review of records of 70 children with posterior urethral valves. RESULTS The mean (SD) gestational age at diagnosis was 34 (4.48) weeks, and age at intervention was 130.5 (170.9) days. The nadir creatinine was significantly raised (<1.2 mg...

Posterior urethral valves diagnosed by bedside ultrasound in the ED.

Posterior urethral valves are the most common cause of urinary obstruction in male children. Presentations of posterior urethral valves beyond the neonatal period include urinary tract infection, abdominal mass, renal failure,diminished urinary stream, crying during micturition,incontinence, dysuria, hematuria, or failure to thrive. Early diagnosis is imperative because early surgical relief of...

Posterior Urethral Valves

Posterior Urethral Valves

The most common cause of lower urinary tract obstruction in male infants is posterior urethral valves. Although the incidence has remained stable, the neonatal mortality for this disorder has improved due to early diagnosis and intensive neonatal care, thanks in part to the widespread use of prenatal ultrasound evaluations. In fact, the most common reason for the diagnosis of posterior urethral...

Current Practice Posterior urethral valves

Posterior urethral valves (PUV) are the commonest cause of bladder outlet obstruction in children. With improvement of primary health care and widespread use of ultrasonography during antenatal check-up, early diagnosis of PUV has increased. The first description of PUV was made in 1919 by Hugh Hampton Young 1 . PUV represents a spectrum of severity, ranging from disease incompatible with postn...