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Anterior urethral valve in an adolescent boy.  [cached]
Punekar S,Rao N,Kelkar A,Gavande P
Journal of Postgraduate Medicine , 1995,
Abstract: A 14 year old boy with a relatively uncommon anterior urethral valve is described herein.
Missed diagnosis of anterior urethral valve complicated with a foreign body: A cause for concern  [cached]
Nayyar Rishi,Chavda Sundeep,Singh Prabhjot,Gupta Narmada
African Journal of Paediatric Surgery , 2011,
Abstract: Anterior urethral valve (AUV) is a long known but rare anomaly, which is occasionally encountered in boys with obstructive uropathy. We present a case of AUV with a diverticulum which was misdiagnosed at other center as neurogenic bladder resulting in chronic renal failure. The case was further complicated by breakage of tip of the catheter used for clean intermittent catheterization (CIC) in the diverticulum presenting as a foreign body in the urethra. This article highlights the frequently missed diagnosis of AUV by most practitioners wrongly labeling it as neurogenic bladder, leading to improper management and renal failure in young boys.
Anterior Urethral Valves: Not Such a Benign Condition…  [PDF]
Omar Cruz-Diaz,Anahi Salomon,Eran Rosenberg,Juan Manuel Moldes,Francisco de Badiola,Andrew Scott Labbie,Rafael Gosalbez,Miguel Alfredo Castellan
Frontiers in Pediatrics , 2013, DOI: 10.3389/fped.2013.00035
Abstract: Purpose: Anterior urethral valves (AUVs) is an unusual cause of congenital obstruction of the male urethra, being 15–30 times less common than posterior urethral valves (PUVs). It has been suggested that patients with congenital anterior urethral obstruction have a better prognosis than those with PUV, with less hydronephrosis, and a lower incidence of chronic renal insufficiency (5 vs. 30%). The long-term prognosis of AUVs is not clear in the literature. In this report we describe our experience and long-term follow up of patients with anterior urethral valve.
Anterior and posterior urethral valves: a rare association  [PDF]
Sahnoun Lassaad, Lamiri Rachida, Ben Saad Manel, Salem Randa, Mekki Mongi, Maazoun Kais, Krichene Imed, Chahed J., Nouri Abdellatif
Open Journal of Pediatrics (OJPed) , 2011, DOI: 10.4236/ojped.2011.13009
Abstract: Association of anterior and posterior urethral valve is a rare congenital anomaly causing lower urinary tract obstruction in children. This paper highlights our experience with a two-month-old boy with double urethral valves. Antenatal ultrasonography failed to detect any abnormality. At the age of 1 month, he presented with urinary dribbling, straining at micturition, and febrile urinary tract infection. Clinically, the urethra was dilated at micturition. Diagnosis was confirmed by retrograde urethrogram and urethroscopy. Endoscopic ablation of both valves was done by electrocautery hook.
Anterior urethral valves associated with hypospadias  [cached]
Mahajan J,Ojha Sunita,Rao KLN
Journal of Indian Association of Pediatric Surgeons , 2007,
Abstract: An association of coronal hypospadias with meatal stenosis and anterior urethral valves is described in this report. A combination of double obstruction in anterior urethra may overshadow the expression of proximal one.
Posterior Urethral Obstructing Membrane in a Nigerian Neonate, a True presentation of posterior urethral valve- A Case Report
A Eighemhenrio
East and Central African Journal of Surgery , 2012,
Abstract: Posterior urethral valve is the commonest cause of lower urinary tract obstruction in male neonates. Diagnosis can be made prenatally and in newborn males. Young classified posterior urethral valve into three types with Type I having the highest incidence of 95%. Recent findings have shown that Type III appears to actually be the commonest type before catheterization presupposing that Young’s classification was done after atherization. The commonest form of presentation therefore appears to be Type III before catheterization.
A Study Of The Results Of "Urethral Advancement And Glanuloplasty" (UAGP) In Repairing Anterior Hypospadias
Sadeghipottr roodsari S,Mulaeian M
Tehran University Medical Journal , 2003,
Abstract: Background: In this study, the results of "Urethral Advancement & Glanuloplasty" in repairing anterior hypospadias were considered. Hypospadias is a common urethral anomaly in boys. More than 65 percent of hypospadias cases are anterior (glanular, coronal and distal penil shaft). More than two hundreds original techniques have been applied to correct hypospadias. Each of these techniques has some complications. The most common complications of hypospadias repairing are fistula and meatal stenosis."nMaterials and Methods: A total of 74 boys with anterior hypospadias underwent the procedure of "Urethral Advancement and Glanuloplasty" (UAGP) in our medical centers from March 1994 to April 1999. The procedure included: degloving, correction of chordee, urethral mobilization and glans plasty. Cosmetic results were excellent in most patients. There was no fistula, and also meatal stenosis was not observed after applying V-Flap of the glans."nResults & Conclusions: In a 1 - 6 year follow - up (mean 3.15 years, SD ± 1.79) the results functionally and cosmetically, were satisfactory in all cases with no long-tem complication or chordee.
Adult posterior urethral valve: a case report  [cached]
Kilciler, Mete,Basal, Seref,Irkilata, Hasan Cem,Zor, Murat
GMS German Medical Science , 2010,
Abstract: Introduction: Posterior urethral valve (PUV) is a congenital obstructive defect of the male urethra with an incidence of 1/8,000 to 1/25,000 live births. PUV is the most common cause of lower urinary tract obstruction in neonates. The diagnosis of PUV is usually made early, and PUV cases have rarely been detected in adults. Case presentation: Here we report the case of a 35 years old man presented with obstructive urinary symptoms. In spite of bladder neck rejection uroflowmetry pointed out infravesical obstruction with max. flow rate 9 ml/s and average flow rate 6 ml/s in uroflowmetry. During cystoscopy mild bladder trabeculation and resected bladder neck were seen. While the cystoscope was taken off, PUV were obtained. Conclusion: Since PUV is a rare condition in adults and the diagnosis of PUVs is also difficult in these groups we must consider this situation during evaluation of adult patients with obstructive symptoms especially during cystourethroscopy.
Experience With The Management Of Urethral Stones Presenting With Urinary Retention At Gusau
A AAhmed, NM Saeed
Nigerian Journal of Clinical Practice , 2008,
Abstract: Urinary tract stones are increasing in our societies. Similar to the finding in developed countries, majority of our patients have upper urinary tract stones. Urethral stone is an uncommon cause of acute urinary retention. It presents with an emergency management scenario which is compounded by lack of endoscopic facilities in our hospitals.We present themanagement of urethral stones presenting as acute urinary retention in our centre. This prospective study was conducted between January 1998 and June 2006. All patients who presented with urethral stones were included. Following the diagnosis, 2% xylocaine jelly was instilled into the urethra after which a Foley catheter was gently inserted to dislodge the stone back into the bladder.Thereafter, the stonewas removed by cystolithotomy after complete evaluation of the patient. There were 7 patients. Their ages ranged between 8 and 45 years. All patients presented with acute urinary retention and pain at the glans. One patient had a history of previous passage of stone in urine. Five stones were located in anterior urethra. All stones were easily pushed back into the bladder. The stones sizes ranged between 0.6x1.5cmand 3.0 x 3.5cm.Therewas no urethral injury in any patient. Urethral stone is a rare cause of acute urinary retention. In the absence of urethral pathology, urethral stone can be easily and safely pushed back into the bladder from where they can be removed by cystolithotomy.
Late presentation of posterior urethral valve: two case reports
Jesus, Carlos Márcio Nóbrega de;Trindade Filho, José Carlos de Souza;Goldberg, José;
Sao Paulo Medical Journal , 2008, DOI: 10.1590/S1516-31802008000200012
Abstract: context: posterior urethral valve (puv) is a widely known condition affecting males that generally presents prenatally or at birth. puvs have also been occasionally described in literature in cases diagnosed during adolescence or adulthood. case report: this report presents two late puv cases, one in a teenager and the other in an adult. both cases had had clinical signs of urinary tract infection and obstructive urinary symptoms. the diagnoses were made by means of voiding cystourethrography and urethrocystoscopy. endoscopic valve fulguration was the treatment chosen for both. their follow-up was uneventful.
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