Surgery was done in the newborn period for 20 babies: surgery for duodenal atresia 4 cases, VP shunting 2 cases, CDH Correction 2 cases, cleft lip repair 5 cases, cleft palate repair 2 cases, surgery for posterior urethral valve
3 cases, surgery for ileal atresia 1 case.
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.
1) We feel this may be analogous to the clinical deterioration seen in posterior urethral valve
patients who acquire increased post-void residuals before developing elevated bladder pressures, hydronephrosis, and renal failure with the "valve bladder syndrome.
This anomaly may be accompanied by various pathological conditions including hypospadias epispadias anterior urethral valve
lacuna manga prostatic urethral polyps megalo-urethra syringocele (dilated Cowper gland) and congenital urethral fistula.
Key words: Prenatal hydronephrosis pelviureteric junction (PUJ) obstruction vesicoureteric Reflux posterior urethral valve
Of the 10 fetuses with follow-up data, the option of termination was offered in 6 cases of anhydramnios, including 3 cases with signs of infravesical obstruction (a possible posterior urethral valve
(PUV) and poor prognostic factors and 3 cases with unilateral hydronephrosis and increased echogenicity in the contralateral kidney.
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.
Posterior urethral valve
(PUV) (see Figure 5) is a lower urinary tract obstruction resulting from an obstructing membrane within the lumen of the posterior (prostatic) urethra.
The present prospective study of posterior urethral valve
in children has been carried out in the Department of Surgery, Jawaharlal Nehru Institute of Medical Sciences (JNIMS), Imphal, Manipur.