All Title Author
Keywords Abstract


Glanular Anterior Urethral Valve; A Case Report of an Unusual Cause of Neonatal Urinary Retention

DOI: 10.4236/ojped.2016.62025, PP. 171-174

Keywords: Glanular, Anterior Urethral Valve, Urinary Retention

Full-Text   Cite this paper   Add to My Lib

Abstract:

Anterior urethral valve is an uncommon abnormality whose etiology is uncertain, unlike in the case of posterior urethral valve. Glanular anterior urethral valve is even rarer. We present an unusual case of anterior urethral valve, which presented with acute urinary retention and was successfully managed with excision and glans reconstruction. A history of poor stream and dribbling, recurrent urinary tract infections and palpable penile or peno-scrotal mass strongly points to the diagnosis of anterior urethral valve. A voiding cystourethrogramme confirms the diagnosis. It can cause early proximal urinary tract damage and renal failure if not intervened in time. Early surgical intervention will prevent the onset of uremia. Transurethral resection is the treatment of choice.

References

[1]  Tucci Jr., S., Franco, P.B., Molina, C.A.F., Suaid, H.J., Cologna, A.J. and Martins, A.C.P. (2003) Anterior Urethral Valves. Jornal de Pediatria, 79, 91-94.
http://dx.doi.org/10.1590/S0021-75572003000100016
[2]  Lassaad, S., Rachida, L., Manel, B.S., Randa, S., Mongi, M., Kais, M., Imed, K., Chahed, J. and Abdellatif, N. (2011) Anterior and Posterior Urethral Valves: A Rare Association. Open Journal of Pediatrics, 1, 34-36.
http://dx.doi.org/10.4236/ojped.2011.13009
[3]  Paulhac, P., Fourcade, L., Lesaux, N., Alain, J.L. and Colombeau, P. (2003) Anterior Urethral Valves and Diverticula. BJU International, 92, 506-509.
[4]  Singh, D.J. and Taneja, R. (2014) Anterior Urethral Valves without Diverticulae: A Report of Two Cases and a Review of the Literature. Congenital Anomalies, 54, 120-122.
http://dx.doi.org/10.1111/cga.12032
[5]  Kihara, T., Nakai, H., Mori, K.-I., Sato, R., Kitahara, S. and Yasuda, K. (2008) Variety of Congenital Urethral Lesions in Boys with Lower Urinary Tract Symptoms and the Results of Endoscopic Treatment. International Journal of Urology, 15, 235-240.
http://dx.doi.org/10.1111/j.1442-2042.2007.01968.x
[6]  Chakraborty, J.N. and Mitra, S.K. (2001) Anterior Urethral Valve Resulting from Congenital Urethral Diverticulum in a Child. Journal of Indian Association of Pediatric Surgeons, 6, 146-148.
[7]  Cheong, W.Y., Cheng, H.K. and Tan, K.P. (1988) Congenital Anterior Urethral Diverticulum. Singgapore Medicine Journal, 29, 171-175.
[8]  Narasimhan, K.L., Choudhary, S.K. and Kaur, B. (2005) Anterior Urethral Valves. Indian Pediatrics, 42, 708-710.

Full-Text

comments powered by Disqus