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Journal
2013 | 8 | 3 | 343-345
Article title

Unrecognized anterior urethral valves as a cause of renal failure

Content
Title variants
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.
Publisher

Journal
Year
Volume
8
Issue
3
Pages
343-345
Physical description
Dates
published
1 - 6 - 2013
online
17 - 4 - 2013
Contributors
  • School of Medicine, University of Belgrade, 11070, Belgrade, Serbia
author
  • School of Medicine, University of Belgrade, 11070, Belgrade, Serbia
  • 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]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_s11536-012-0083-z
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