Major and Minor Complications of Posterior Urethral Valves

Kurth, K. H.; Alleman, E. R. J.; Schröder, Fritz H.

doi:10.1016/s0022-5347(17)54602-9

Cited by 34 publications

(10 citation statements)

References 3 publications

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“…Urodynamic evaluation of 41 patients with PUV by Peters et al (1990) found 3 major categories of bladder dysfunction leading to voiding disturbances: myogenic failure, hyper-reflexia and bladder hypertonia. Kurth et al (1981) confirmed these findings by urodynamic evaluation of 16 boys after valve fulguration.…”

Section: Discussionsupporting

confidence: 63%

Renal Transplantation in Young Boys with Posterior Urethral Valves: Preliminary Report

Dinneen¹,

Fitzpatrick²,

Godley³

et al. 1993

British Journal of Urology

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Seven boys (mean age 38 months) with posterior urethral valves underwent renal transplantation between June 1988 and August 1991. Urodynamic studies were performed before transplantation in 6/7 patients. In 4 the investigation indicated bladders of capacity and compliance which were deemed suitable for transplantation. Two patients had poorly compliant bladders; one of these underwent bladder augmentation before engraftment and the other proceeded to transplantation without bladder surgery. Six patients have functioning renal allografts with a mean follow-up of 1.3 years and a mean plasma creatinine of 51.6 mumol/l. Mean glomerular filtration rate (ml/min/1.73 m2 SA) 6 months after transplantation was 76.8 and at 1 year it was 84.5. In one patient early rejection was followed by transplant nephrectomy. Careful pre-operative evaluation is mandatory for a successful outcome of renal transplantation in young boys with posterior urethral valves.

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Section: Discussionsupporting

confidence: 63%

Renal Transplantation in Young Boys with Posterior Urethral Valves: Preliminary Report

Dinneen¹,

Fitzpatrick²,

Godley³

et al. 1993

British Journal of Urology

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“…It is observed that there is no much difference regarding the renal status in our study from other studies. 17,[20][21][22] In our study obstructive features are detected in 33 (73.33%) cases by USG, in 39 (86.67%) cases by VCUG and are confirmed in 33 (73.33%) cases at the time of cystoscopy. Various authors used voiding cystourography as the main diagnostic tool assisted by Intravenous Urography (IVU) and ultrasonography of KUB region to study the renal status.…”

Section: Discussionsupporting

confidence: 52%

“…A weak urinary stream has been reported in less than 30 percent of cases, so that a strong stream does not preclude the diagnosis of posterior urethral obstruction. 16,17 The gold standard for diagnosis remains the radiographic voiding cystourethrography and retrograde urethrography. 18,19 Prenatal ultrasound screening of PUV has significantly increased early diagnosis and management of this pathology in most developed societies.…”

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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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“…In severe cases of PUV, two important factors, reflux [ 12] and high‐pressure detrusor storage [ 19], decrease the efficiency of ureteric urinary transport. VUR has been reported in 19–72% of children with PUV and an even higher percentage in those with more severe PUV [ 20].…”

Section: Primary and Secondary Pathologymentioning

confidence: 99%

Urethral valves

Agarwal

1999

BJU International

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Major and Minor Complications of Posterior Urethral Valves

Cited by 34 publications

References 3 publications

Renal Transplantation in Young Boys with Posterior Urethral Valves: Preliminary Report

Renal Transplantation in Young Boys with Posterior Urethral Valves: Preliminary Report

Posterior Urethral Valves- Our Experience

Urethral valves

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