Unrecognized anterior urethral valves as a cause of renal failure

• Authors: Vladimir Kojovic , Miroslav Djordjevic , Marta Bizic , Marko Majstorovic
• Languages of publication: EN

Abstracts

EN

Congenital obstruction of the male urethra is usually caused by posterior urethral valves. Anterior urethral valves (AUV) represent a rare anomaly with a wide spectrum of presentation varying from mild voiding difficulties to end-stage renal disease. Prompt diagnosis and appropriate treatment is essential to prevent renal impairment. We report the case of a 13 month-old boy who presented with deterioration of kidney function caused by unrecognized AUV disorder. Temporary cutaneous vesicostomy was necessary to protect the upper urinary tract from further damage and to stabilize renal function. Even though a voiding cystourethrogram (VCUG) demonstrated obstruction of distal urethra, AUV were initially overlooked but finally diagnosed on additional VCUG followed by urethroscopy.

Keywords

EN

Anterior urethral valves; Renal failure; Urethral obstruction; Urethra

• Journal: Open Medicine
• Year: 2013
• Volume: 8
• Issue: 3
• Pages: 343-345

Dates

published

1 - 6 - 2013

online

17 - 4 - 2013

Contributors

author

Vladimir Kojovic

• School of Medicine, University of Belgrade, 11070, Belgrade, Serbia,

author

Miroslav Djordjevic

• School of Medicine, University of Belgrade, 11070, Belgrade, Serbia

author

Marta Bizic

• School of Medicine, University of Belgrade, 11070, Belgrade, Serbia

author

Marko Majstorovic

• School of Medicine, University of Belgrade, 11070, Belgrade, Serbia

References

• [1] Casale A., Posterior Urethral Valves and Other Urethral Anomalies, In: Wein A., Kavoussi L., Novick A. et al. (Eds.) Campbell-Walsh Urology, 9th ed. WB Saunders, 2007
• [2] Williams D.I., Retik A.B., Congenital valves and diverticula of the anterior urethra, Br. J. Urol. 1969, 41, 228–234 http://dx.doi.org/10.1111/j.1464-410X.1969.tb09928.x[Crossref]
• [3] Arena S., Romeo C., Borruto F.A., et al., Anterior urethral valves in children: an uncommon multipathogenic cause of obstructive uropathy, Pediatr. Surg. Int., 2009, 25(7), 613–616 http://dx.doi.org/10.1007/s00383-009-2393-z[WoS][Crossref]
• [4] Narasimhan K.L., Choudhary S.K., Kaur B., Anterior urethral valves, Indian. Pediatr., 2005, 42, 708–710
• [5] Zia-ul-Miraj M., Anterior urethral valves: a rare cause of infravesical obstruction in children, J. Pediatr. Surg., 2000, 35, 556–558 http://dx.doi.org/10.1053/jpsu.2000.0350556[Crossref]
• [6] Firlit R.S., Firlit C.F., King L.R., Obstructing anterior urethral valves in children, J. Urol., 1978, 119, 819–821 [PubMed]
• [7] Levin T.L., Han B., Little B.P., Congenital anomalies of the male urethra, Pediatr. Radiol. 2007, 37(9), 851–862 http://dx.doi.org/10.1007/s00247-007-0495-0[Crossref][WoS]
• [8] Goyal M., Sharma R., Gupta D.K., et al., Congenital anterior urethral diverticulum: sonographic diagnosis, J. Clin. Ultrasound., 1996, 24, 543–544 http://dx.doi.org/10.1002/(SICI)1097-0096(199611/12)24:9<543::AID-JCU11>3.0.CO;2-7[Crossref]

Identifiers

DOI

10.2478/s11536-012-0083-z