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.
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.
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
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