Surgical complications of posterior urethral valve ablation: 20 years experience

Sarhan, Osama; El-Ghoneimi, Alaa; Hafez, Ashraf T.; Dawaba, Mohamed; Ghali, A.; Ibrahiem, El-Houssiny I.

doi:10.1016/j.jpedsurg.2010.07.003

Cited by 39 publications

(34 citation statements)

References 18 publications

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“…VCUG is considered as the reference radiological study with which to visualize the urethra and, hence, diagnose PUV in children [5,6]. Several authors have reported sensitivity rates ranging between 80 and 90% for the initial diagnosis of PUV [7,8].…”

Section: Discussionmentioning

confidence: 99%

Posterior urethra: Anterior urethra ratio in the evaluation of success following PUV ablation

Babu

Sekar

Ramesh

2016

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 99%

Posterior urethra: Anterior urethra ratio in the evaluation of success following PUV ablation

Babu

Sekar

Ramesh

2016

Journal of Pediatric Urology

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“…In fact, the child suffered from a recurrent obstruction with a definitive diagnosis of bladder neck contracture, which has been known to occur in 2% of postoperative obstructive uropathies, due to the loop endoscopy itself. 18 Our patient suffered from acute kidney injury when he initially presented, and failure to thrive during the monitoring, but unfortunately, his bladder function status was unknown. Risk factors for renal failure are VUR obstructive urinary tract disorders, non-E. coli infectious etiologies, and infection in infants and young chidren.…”

Section: Discussionmentioning

confidence: 87%

“…23 Some experts suggest the use of prophylactic antibiotics if the child has VUR, immunosuppression, partial urinary tract obstruction, recurrent UTIs with normal renal function, two episodes of UTIs within 6 months, or 3 episodes within 12 months, as in our patient. 18,24,25 In a 2011 metaanalysis, the long-term use of prophylactic antibiotics did not significantly reduce the number of recurrent UTIs, but was able to decrease the risk of new kidney damage, with number needed to treat (NNT) of 33 in 2-3 years. 26 The prognosis in congenital obstructive conditions depends on compliance to therapy, renal function before and after correction of the obstruction, age at diagnosis, the presence of VUR at the time of diagnosis, accompanying UTIs, proteinuria, hypertension and the initial therapy given to the patient.…”

Section: Discussionmentioning

confidence: 99%

Congenital obstructive posterior urethral membranes and recurrent urinary tract infection: a rare case of congenital hypertrophy of the verumontanum

Bancin

Herini

Kusuma

et al. 2015

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Congenital obstructive posterior urethral membranes (COPUM) is a complex disease closely related to several pathological changes in kidney development and function, as a result of urinary reflux since in utero. This congenital anomaly of urinary tract potentially causes hydroureteronephrosis that is often associated with recurrent urinary tract infections and, ultimately, one of the most common causes of end-stage renal disease in children.1,2 Congenital hypertrophy of the verumontanum as part of COPUM is very rare. Only a few reports have been written on congenital hypertrophy of the vermontanum causing congenital obstructive uropathy.3-6

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“…Стандартной лечебной процедурой при выявлении заболевания является трансуретральное рассечение или резекция клапана. Данная процедура не гарантирует излечения и может привести к развитию ряда осложнений, в том числе к развитию в зоне операции стриктуры уретры с вероятностью 2-25 % [12][13][14]. Помимо этого, с лечебной целью возможно выполнение «слепой» дилятации уретры или уретропластической операции.…”

Section: Introductionunclassified

Double Urethral Valve: a Clinical Case

Vorobev

Белобородов

Попов

2019

Kreativnaâ hirurgiâ i onkologiâ

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Introduction. Urethral valves (UVs) are congenital malformations of the urethra, leading to infravesical obstruction. The most common UV is the posterior urethral valve (PUV). The anterior urethral valve (AUV) is a somewhat rarer, but still well-known congenital anomaly. UVs can provoke significant obstruction of the proximal urinary system, which can later lead to disability of children and more frequent deaths.Materials and methods. The article presents a clinical example of a 32-year-old man with a congenital double urethral valve occuring in the anterior and posterior urethra, which led to the development of chronic urinary retention, urinary tract infection and chronic renal failure. The patient underwent a successful urethroplasty operation to remove the valve mechanism.Results. Six months following surgery, the patient noted the complete disappearance of symptoms, with renal function having returned to normal. No signs of recurrence of the disease or the formation of stricture of the urethra were detected by to the survey.Conclusion. A congenital variant of the double UV is an unusual extremely rare cause of infravesical obstruction. Early diagnosis and treatment of this anomaly is very important for preventing further irreversible damage to the urinary system. The presented clinical observation demonstrates the need to organise and conduct periodic preventive examinations of children of different age groups.

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Surgical complications of posterior urethral valve ablation: 20 years experience

Cited by 39 publications

References 18 publications

Posterior urethra: Anterior urethra ratio in the evaluation of success following PUV ablation

Posterior urethra: Anterior urethra ratio in the evaluation of success following PUV ablation

Congenital obstructive posterior urethral membranes and recurrent urinary tract infection: a rare case of congenital hypertrophy of the verumontanum

Double Urethral Valve: a Clinical Case

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