scholarly journals Lower abdominal mass in a 16-year old adolescent: an unusual presentation of posterior urethral valves

2011 ◽  
pp. e1-e3 ◽  
Author(s):  
Niki Kanaroglou ◽  
Luis H.P. Braga ◽  
Peter Massaro ◽  
Keith Lau ◽  
Jorge DeMaria
Keyword(s):  
Abdominal Mass ◽  
Posterior Urethral Valves ◽  
Unusual Presentation ◽  
Urethral Valves

scholarly journals Lower abdominal mass in a 16-year old adolescent: an unusual presentation of posterior urethral valves

2013 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Niki Kanaroglou ◽  
Luis HP Braga ◽  
Peter Massaro ◽  
Keith Lau ◽  
Jorge DeMaria
Keyword(s):  
Renal Failure ◽  
Natural History ◽  
Urinary Retention ◽  
Broad Spectrum ◽  
Abdominal Mass ◽  
Posterior Urethral Valves ◽  
Unusual Presentation ◽  
Urethral Valves

Posterior urethral valves (PUV) are now commonly suspected onantenatal ultrasound, but can present with a broad spectrum ofseverity postnatally. Rarely, the diagnosis is missed until adolescenceor adulthood when the patient usually presents with lowerurinary tract symptoms. We describe an even rarer case of PUV inan adolescent who first presented with renal failure and a palpablelower abdominal mass due to urinary retention. We review theliterature on presentation, natural history and outcomes of bothearly and late presenting PUV cases.

Unusual presentation of a rare case of posterior urethral valves in a nine-year-old boy

2016 ◽  
Vol 6 (3) ◽  
pp. 186 ◽  
Author(s):  
Suleiman Lawal ◽  
PhilipO Ibinaiye ◽  
AhmadT Lawal ◽  
MuhammadI Zaria ◽  
JosephB Igashi
Keyword(s):  
Rare Case ◽  
Posterior Urethral Valves ◽  
Unusual Presentation ◽  
Urethral Valves

scholarly journals Diagnosis and Treatment of Palpable Urological Mass in the Neonatal Period: A 5 Year Review

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Urinary Diversion ◽  
Neonatal Period ◽  
Abdominal Mass ◽  
Vesicoureteric Reflux ◽  
Posterior Urethral Valves ◽  
Multicystic Dysplastic Kidney ◽  
Palpable Mass ◽  
Urethral Valves ◽  
Dysplastic Kidney ◽  
Abdominal Masses

Introduction: Abdominal masses in the neonatal period often present a diagnostic challenge. The aim of this study was to evaluate which urological pathologies cause the formation of a neonatal mass, the diagnostic pathway and surgical outcome. Patients and methods: The medical and radiological records of 30 neonates who were admitted to the Neonatal Surgical Unit of Yorkhill Sick Children Hospital, Glasgow with an abdominal mass over a five-year period (2008-2013) were reviewed. Data collected included demographics, gestational age, radiological investigations, operative findings and complications. Result: Seventeen neonates (9 males, 8 females) were identified with an abdominal mass arising from the urological tract. Four boys were found to have posterior urethral valves while in 4 girls a duplex kidney with a ureterocele was identified. In the remaining 9 patients the palpable mass was caused by: vesicoureteric reflux (n=2), multicystic dysplastic kidney (n=2), polycistic kidney disease (n=1), ectopic kidney (n=1), pelvi-ureteric junction obstruction (PUJO) (n=1), unilocular renal cyst (n=1), PUJO and vesicoureteric junction obstruction (n=1). Nine patients required a form of urinary diversion and in two of these patients a nephrostomy was followed by a pyeloplasty, 2 required incision of ureteroceles, 1 nephrectomy, 1 partial nephrectomy, 1 STING and 1 primary valve ablation. Conclusion: Only 70% of newborns with abdominal masses were diagnosed antenatally, while 30% were detected postnatally. Posterior urethral valves remain the most common cause of a neonatal mass in a male, while duplex kidneys with ureterocele were seen in girls. Half of the patients will require a form of urinary diversion in the neonatal period. The large majority (88%) of abdominal masses of urological origin required surgical intervention.

scholarly journals Neonate with urinary ascites but no hydronephrosis: unusual presentation of posterior urethral valves

2018 ◽  
pp. bcr-2018-225053
Author(s):  
Elisabetta Prat ◽  
Patricia Seo-Mayer ◽  
Swati Agarwal
Keyword(s):  
Urinary Tract Obstruction ◽  
Obstructive Uropathy ◽  
Male Infant ◽  
Posterior Urethral Valves ◽  
Unusual Presentation ◽  
Voiding Cystourethrogram ◽  
Urinary Ascites ◽  
Urethral Valves ◽  
Bladder Distention ◽  
Distended Bladder

Posterior urethral valves (PUV) are an important cause of paediatric obstructive uropathy. PUV are usually diagnosed by prenatal ultrasonography (US) revealing hydronephrosis and bladder distention. We describe a 17-day-old male infant with abdominal distention who had no hydronephrosis on prenatal US. Laboratory investigations showed serum creatinine of 12 mg/dL, hyperkalaemia and metabolic acidosis. Abdominal US showed large amount of ascites, normal-sized kidneys without hydronephrosis and incompletely distended bladder. Paracentesis revealed clear, yellow ascitic fluid with creatinine level of 27 mg/dL compatible with urinary ascites. Voiding cystourethrogram (VCUG) demonstrated PUV with a dilated posterior urethra, grade 5 right vesicoureteral reflux and a ruptured kidney fornix with peritoneal extravasation of contrast. Foley decompression resulted in normalisation of creatinine within 72 hours. Transurethral resection of PUV was performed, and a repeat VCUG showed recovery of forniceal rupture. This case illustrates an unusual presentation of a potentially life-threatening but treatable cause of urinary tract obstruction.

Association of Renal Glomerular and Tubular Function With Renal Outcome in Patients With Posterior Urethral Valves

Urology ◽  
2020 ◽  
Author(s):  
Jukka Heikkilä ◽  
Timo Jahnukainen ◽  
Christer Holmberg ◽  
Seppo Taskinen
Keyword(s):  
Posterior Urethral Valves ◽  
Tubular Function ◽  
Renal Outcome ◽  
Urethral Valves

Does treatment of bladder dysfunction prior to renal transplant improve outcome in patients with posterior urethral valves?

2000 ◽  
Vol 4 (2) ◽  
pp. 118-122 ◽  
Author(s):  
P Lopez Pereira ◽  
E. Jaureguizar ◽  
M. J Martinez Urrutia ◽  
C Meseguer ◽  
M Navarro
Keyword(s):  
Renal Transplant ◽  
Bladder Dysfunction ◽  
Posterior Urethral Valves ◽  
Improve Outcome ◽  
Urethral Valves

scholarly journals Prenatal Diagnosis of Posterior Urethral Valves

2007 ◽  
Vol 23 (1) ◽  
pp. 23-25
Author(s):  
Joy D. Guthrie
Keyword(s):  
Prenatal Diagnosis ◽  
Posterior Urethral Valves ◽  
Urethral Valves

Re: Nadir Creatinine in Posterior Urethral Valves: How High is Low Enough?

2016 ◽  
Vol 195 (2) ◽  
pp. 477-477
Author(s):  
Douglas A. Canning
Keyword(s):  
Posterior Urethral Valves ◽  
Urethral Valves

The Protean Aspects of Posterior Urethral Valves

1981 ◽  
Vol 126 (6) ◽  
pp. 763-766 ◽  
Author(s):  
K. Kenney Crooks
Keyword(s):  
Posterior Urethral Valves ◽  
Urethral Valves

CONGENITAL POSTERIOR URETHRAL VALVES: A STUDY OF THIRTY-FIVE CASES

1959 ◽  
Vol 31 (1) ◽  
pp. 63-70 ◽  
Author(s):  
W. I. Forsythe ◽  
G. D. F. McFadden
Keyword(s):  
Posterior Urethral Valves ◽  
Urethral Valves
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