Congenital diverticula may develop due to an anterior
urethral valve or urethral duplication and can cause serious problems in the upper urinary tract starting from the intrauterine period similar to the posterior
urethral valve (1,2).
Significance of age-specific creatinine levels at presentation in posterior
urethral valve patients.
Dr Ademola, a consultant paediatric nephrologist, University College Hospital (UCH), Ibadan, Oyo State, said continual dribbling of urine or even a weak stream during urination in boys could suggest that they were not urinating properly and that is the symptom of a condition medically termed posterior
urethral valve.
All cases with a secondary cause of hydronephrosis like posterior
urethral valve (PUV), pelvicureteric junction obstruction (PUJ), and vesico-ureteric reflux (VUR), were referred to a pediatric urologist.
P Arul Kumaran, aged 11, suffered from posterior
urethral valve, while nine-year-old Mithun was diagnosed with congenitally mal developed kidneys and high blood pressure.
In the present study, the long term follow up in patients of posterior
urethral valve coming to the department with special reference to urodynamic studies to evaluate the outcome of treatment was evaluated.
Another patient with posterior
urethral valve fulgurated at childhood had dysplastic kidneys and renal scarring confirmed on renal ultrasound and DMSA renal scan.
The causes were physiological/ transient in 44 PUJ obstruction 11 primary vesicouretric reflux 5 and posterior
urethral valve 4 cases.Of 5 patients having primary vesicouretric reflux 3 had grade III and 2 grade IV reflux.Definitive surgery was performed in 15 cases Out of these; 11 patients under went open pyeloplasty in mean time of 6 months and 4 patients with posterior
urethral valves initially underwent vesicostomy on 14th day and later posterior valve fulguration at 18 months.
The etiology of hydroureteronephrosis was neurogenic bladder secondary to meningomyelocele in five patients, a posterior
urethral valve (PUV) in four patients, an obstructive megaureter in three patients and ectopic obstructive ureterocele in two patients.
Posterior
urethral valve (45%) and nephrolithiasis (35%) were commonest causes.
When the group with increased bladder wall thickness an unstable detrusor contractions on urodynamic examination was evaluated according to causes, an anatomical cause was found in five patients including posterior
urethral valve or anterior urethral stricture.
Andrea was 15 weeks pregnant when Ben was diagnosed with posterior
urethral valve, or PUV, which affects about one in 8,000 people.