scholarly journals Urinary ascitis in neonate with posterior urethral valve

2018 ◽  
Vol 5 (5) ◽  
pp. 2023
Author(s):  
Sunny Malvia ◽  
Pradeep Meena ◽  
Suresh Goyal ◽  
Juhi Mehrotra ◽  
Ravi Rawat
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Obstruction ◽  
Imaging Techniques ◽  
Abdominal Distension ◽  
Posterior Urethral Valve ◽  
Male Child ◽  
Corrective Surgery ◽  
Urinary Ascites ◽  
Common Cause ◽  
Urethral Valve

Urinary ascites in a newborn infant is not very common. It indicates a disruption to the integrity of the urinary tract. Urinary tract obstruction leads to increased pressure which causes urine collection within the peri-renal spaces and subsequent urinary ascites either by calyceal perforation or filtration through the walls of urinary tract. Posterior urethral valve is most common cause of urinary tract obstruction in male child. The report describes a male child of age 17 days, presented with gross abdomen distension and diagnosed as urinary ascites, due to underlying posterior urethral valve. The abdominal distension was relieved with subsequent drainage of urine. Diagnosis was made using imaging techniques and corrective surgery planned.

scholarly journals A Rare Case of Urinary Ascites in Newborn

2016 ◽  
Vol 5 (1) ◽  
pp. 1098
Author(s):  
J. Singh ◽  
A. C. Khanna ◽  
S. Arora
Keyword(s):  
Urinary Tract ◽  
Newborn Infant ◽  
Rare Case ◽  
Posterior Urethral Valve ◽  
Bladder Rupture ◽  
Urinary Ascites ◽  
Ventilator Support ◽  
Common Cause ◽  
Urethral Valve

Urinary ascites in a newborn infant is unusual and most commonly indicates a disruption to the integrity of urinary tract, the most common cause being posterior urethral valve. The report describes a case of urinary ascites, probably calyx or bladder rupture due to underlying posterior urethral valve. The patient presented as an emergency and was treated with ventilator support and subsequent drainage of urine.

scholarly journals Fetoscopic laser valve ablation in the posterior urethral valve case with intrauterine diagnosis

2020 ◽  
Vol 28 (3) ◽  
pp. 206-211
Author(s):  
Selahattin Kumru ◽  
Serdar Kaya
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Urinary Tract Obstruction ◽  
Treatment Options ◽  
Posterior Urethral Valve ◽  
Fetal Ultrasonography ◽  
Lower Urinary Tract Obstruction ◽  
Urethral Valve ◽  
Lower Urinary

Objective: We aimed to present the procedure of intrauterine percutaneous fetoscopic laser valve ablation performed on a fetus diagnosed with lower urinary tract obstruction. Case(s): Bilateral hydroureteronephrosis, dilated bladder and oligo/ anhydramnios were found in the fetal ultrasonography examination of a 21-year-old pregnant woman who did not have regular follow-ups, and the lower urinary tract obstruction consistent with the posterior urethral valve was considered in the case. The patient who was found to have poor prognosis as a result of vesico synthesis carried out consecutively was informed about the follow-up and treatment options, and the posterior urethral valve ablation was performed by the percutaneous fetoscopic laser on 27 weeks of gestation. The amniotic fluid was at normal levels after the procedure, and the labor was carried out at term. The newborn with elevated postpartum creatinine was diagnosed with stage 2 renal failure, but dialysis was not required during the follow-ups. The newborn was discharged for outpatient follow-up upon the reduced creatinine levels. Conclusion: By taking the survival enhancing effect of the intrauterine intervention into account in the presence of lower urinary tract obstruction, we considered that intrauterine intervention can be an option in the cases who prefer to continue their pregnancies. The families should be informed in detail about the benefits and risks of intrauterine intervention to repair the obstruction.

scholarly journals A study proposal on short term outcome and prognosis of primary and delayed fulguration in posterior urethral valve

2020 ◽  
Vol 7 (10) ◽  
pp. 3389
Author(s):  
Jeevarathi T. ◽  
Gomathi Vadivelu
Keyword(s):  
Urinary Tract ◽  
Renal Insufficiency ◽  
Urinary Tract Obstruction ◽  
Posterior Urethral Valve ◽  
Short Term ◽  
Term Outcome ◽  
Current Series ◽  
Lower Urinary Tract Obstruction ◽  
Urethral Valve ◽  
The Impact

Background: Posterior urethral valve (PUV) is the most common cause of lower urinary tract obstruction in male neonates. The incidence is 1 in 4000, 1 in 7500 births PUV occur exclusively in males. This disease has a broad spectrum of presentations. They may present at any age during childhood and may vary from ascites in the neonate to renal failure in infants and only minor voiding dysfunction in an older child. Urinary tract infection is common at all ages. The objectives of the study were to assess the impact of primary impaction on short term outcomes and to assess the outcome of diversion and delayed fulguration.Methods: This retrospective study was conducted at the Pediatric Urology outpatient department (OPD) at the Institute of Child Health and Hospital for Children, Madras Medical College, Chennai including the patients who attended the pediatric surgery from August 2008 to December 2011.Results: In the current series, the incidence of renal insufficiency in patients with urosepsis was 45%. Recurrent urosepsis >3 episodes in a year (fever with urine culture showing infection) primarily due to poor patient compliance lead to progressing pyelonephritis and nephron damage and plays an important role in the outcome of these children.Conclusions: The incidence of renal insufficiency in children with posterior urethral valves in this series was 38% (30-45%) with an average follow up 3 years. Several factors were important in prognosticating the progression towards renal insufficiency and bladder dysfunction. Urodynamics is of immense help in cases having symptoms despite good stream. The use of anticholinergic for abnormal urodynamics gives encouraging results. 

scholarly journals Lower urinary tract obstruction in male children–a report of three cases.

2016 ◽  
Vol 18 (3) ◽  
pp. 400 ◽  
Author(s):  
Donboklang Lynser ◽  
Evarisalin Marbaniang ◽  
Pynskhemboklang Khongsni
Keyword(s):  
Urinary Tract ◽  
Bladder Outlet Obstruction ◽  
Lower Urinary Tract ◽  
Urinary Tract Obstruction ◽  
Outlet Obstruction ◽  
Posterior Urethral Valve ◽  
Urethral Obstruction ◽  
Lower Urinary Tract Obstruction ◽  
Urethral Valve ◽  
Lower Urinary

Urinary retention in young children and infancy is relatively rare. The commonest malignancy cause of bladder outlet obstruction in infancy is prostatic rhabdomyosarcoma; the commonest cause of congenital bladder outlet obstruction in a male infantis posterior urethral valve and the commonest cause of urethral obstruction in male children is urethral calculi. We present here a report on three cases of urethral obstruction in male children. 

Fetal lower urinary tract obstruction: a current overview of intrauterine dia gnosis and treatment

2021 ◽  
Vol 86 (2) ◽  
pp. 133-139
Author(s):  
Ivana Kunochová ◽  
◽  
Martin Gábor ◽  
Marián Križko ◽  
Martin Alföldi ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Urinary Tract Obstruction ◽  
Posterior Urethral Valve ◽  
Perinatal Morbidity ◽  
Review Of Literature ◽  
Lower Urinary Tract Obstruction ◽  
Urethral Valve ◽  
A Current ◽  
Lower Urinary

Overview Objective: The aim of this review article is to provide a practical and concise overview of dia­gnosis and management of pregnancy with fetal lower urinary tract obstruction. Methods: Review of literature and current studies. Conclusion: Proper dia­gnosis and management of isolated fetal lower urinary tract obstruction with oligohydramnios allows appropriate implementation of intrauterine treatment in indicated cases. The treatment is a prevention of pulmonary hypoplasia and also improves renal function; this finally contributes to the improvement of overall perinatal morbidity and mortality. Keywords: fetal lower urinary tract obstruction – posterior urethral valve – vesicoamniotic shunting – fetal cystoscopy

scholarly journals Antenatally Diagnosed Posterior Urethral Valve: A Case Report

2016 ◽  
Vol 5 (1) ◽  
pp. 42-45
Author(s):  
Mahzabeen Islam ◽  
Masudur Rahman ◽  
Sankar Narayan Dey ◽  
Netay Kumer Sharma ◽  
Mir Naz Farzana
Keyword(s):  
Clinical Presentation ◽  
Antenatal Diagnosis ◽  
Late Onset ◽  
Obstructive Uropathy ◽  
Lower Abdominal Pain ◽  
Posterior Urethral Valve ◽  
Caesarian Section ◽  
Common Cause ◽  
Obstructive Lesion ◽  
Urethral Valve

Posterior urethral valve (PUV) are the most common congenital obstructive lesion of the urethra and a common cause of obstructive uropathy in infancy. Clinical presentation depends on the severity of the obstruction. In case of severe obstruction, the diagnosis is usually made antenatally. Here, we present a case of antenatally diagnosed PUV of a fetus of a lady in her 9th month of pregnancy with mild lower abdominal pain for several hours. On ultrasound (US) examination, we found 36.5±2 weeks of pregnancy with mild to moderate oligohydramnios. Fetal urinary bladder was over distended; both the kidneys were grossly hydronephrotic and PUV like echo lucent area was seen at the prostatic region (Key hole sign). Emergency caesarian section (CS) was done and US of the baby showed typical US finding of PUV. The prognosis of antenatal diagnosis of PUV in early pregnancy is poor. But in this case due to the late onset of symptoms and as immediate necessary steps were taken, the baby was totally cured. This case was reported to aware about importance of antenatal anomaly scan and to share our experience. CBMJ 2016 January: Vol. 05 No. 01 P: 42-45

Neonatal urinary ascites in the absence of urinary tract obstruction

1978 ◽  
Vol 13 (6) ◽  
pp. 529-531 ◽  
Author(s):  
D. Murphy ◽  
M. Simmons ◽  
E.J. Guiney
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Obstruction ◽  
Urinary Ascites

scholarly journals Outcomes of intrauterine interventions for the treatment in fetal urinary tract obstructions

2021 ◽  
Vol 11 (1) ◽  
pp. 7-13
Author(s):  
M Pavlichenko ◽  
N Kosovtsova ◽  
N Bashmakova
Keyword(s):  
Urinary Tract ◽  
Perinatal Outcomes ◽  
Posterior Urethral Valve ◽  
Upper Urinary Tract ◽  
Fetal Kidney ◽  
Original Shape ◽  
Mother And Child ◽  
Urethral Valve ◽  
Cavity System ◽  
Grade Iii

Introduction: The leading cause of chronic renal failure in newborns, which occurs soon after birth is obstructive uropathies. Objectives: To prove the effectiveness of nephroamniotic shunting based on the evaluation of perinatal outcomes of this procedure, as well as a comparative analysis of the use of the stent manufactured by "Cook" (Ireland), 3.0 Fr/100 mm and the stent “SDE–MED”, 3.0 Fr/50 mm with the original shape of pigtails. Methods: After checking the safety of the stent “SDE-MED”, 3.0 Fr/50 mm developed by FGBU Mother and Child Care Research Institute with the original shape of pigtails in an animal experiment, the stent was used in clinical practice for intrauterine shunting in cases of unilateral or bilateral hydronephrosis of grade III to IV and posterior urethral valve disorder. In the final part of the study, a comparison of the outcomes of nephroamniotic shunting using two different stents was made. Results: The “SDE–MED” 3.0 Fr/50 mm stent provided more effective fixation in the fetal kidney cavity system in comparison to the stent manufactured by “Cook” (Ireland) 3.0 Fr/100 mm. Conclusion: Intrauterine shunting surgery of the upper urinary tract is a pathogenetically justified method of treating urinary tract obstructions and can be used to correct all types of fetal renal obstructions.

scholarly journals Deciphering the Mutation Spectrum in South Indian Children With Congenital Anomalies of the Kidney and Urinary Tract

2021 ◽  
Author(s):  
Ambili Narikot ◽  
Varsha Chhotusing Pardeshi ◽  
Shubha AM ◽  
Arpana Iyengar ◽  
Anil Vasudevan
Keyword(s):  
Urinary Tract ◽  
Congenital Anomalies ◽  
Posterior Urethral Valve ◽  
Genetic Diagnostics ◽  
Genetic Profile ◽  
Fetal Life ◽  
Indian Children ◽  
South Indian ◽  
Dysplastic Kidney ◽  
Urethral Valve

Abstract Background: Congenital anomalies of the kidney and urinary tract (CAKUT) cover a spectrum of structural malformations that result from aberrant morphogenesis of kidney and urinary tract. It is the most prevalent cause of kidney failure in children. Hence, it is important from a clinical perspective to unravel the molecular etiology of kidney and urinary tract malformations. Causal variants in genes that direct various stages of development of kidney and urinary tract in fetal life have been identified in 5–20 % of CAKUT patients from Western countries. Recent advances in next generation sequencing technology and decreasing cost offer the opportunity to characterize the genetic burden of CAKUT in Indian population and facilitate integration of genetic diagnostics in care of children with CAKUT. Methods: Customized targeted panel sequencing was performed to identify mutations in 31 genes known to cause human CAKUT in 69 south Indian children with CAKUT. The NGS data was filtered using standardized pipeline and the variants were classified using ACMG criteria. Genotype and phenotype correlations were performed. Results: The cohort consisted of children mostly with posterior urethral valve (PUV) (39.1%), vesico-ureteric reflux (VUR) (33.3%) and multi-cystic dysplastic kidney (MCDK) (7.2%). Likely pathogenic variants were identified in two genes (TNXB and CHD1L) in 2 children (9 %) with CAKUT. One child diagnosed with posterior urethral valve (PUV) had mutation in two different genes [TNXB (p. Gln286fs), and CHD1L (p. Ser837fs)], while second child with left duplex system had a single gene mutation in TNXB gene (p. Gln286fs). Conclusions: The present study identified novel monogenic mutations in only a small proportion of patients with CAKUT using a targeted gene panel. The low prevalence of genetic cause may be due to higher proportion of children with abnormalities in lower urinary tract than hypodysplasia of kidneys. Clinical or whole exome sequencing may be a better method to characterize the genetic profile of Indians patients with CAKUT.

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