Posterior Urethral Valve In A Six Year Old Boy With Nocturnal Eneuresis And Failure To Thrive As The Only Symptoms
Article Sidebar
Views | PDF/EPUB Downloads:
49
/ 7
Main Article Content
Abstract
We report a case of posterior urethral valve (PUV) in a six year old boy with nocturnal eneuresis and failure to thrive as the only presenting symptoms. The clinically occult lesion was only unravelled when micturating cysto-urethrogram revealed a dilated posterior urethra with a distal narrow stream of opacified urine, bilateral hydronephrosis and hydroureters, thus confirming an obstructive uropathy due to posterior urethral valves. Eneuresis and haematuria are both documented symptoms of PUV which are barely mentioned at clinical rounds. In an entity where delay in diagnosis could result in irreversible renal damage, the need to raise the index of suspicions for, eneuresis and haematuria (especially microscopic haematuria), as important sysmptoms and sign in PUV is emphasized. The need to remember genitourinary infections in the search for causes of recurrent PUO in the paediatric patient is readdressed.
Downloads
Article Details
Section
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
How to Cite
References
1. Mouriquand P O: Posterior Urethral Values: Determining factors of long term results. Archives of Paediatrics 1997; 4:36-37.
2. Compbell MF.; Harrison JH. Vesico-ureteric Reflux in Urology 3rd Ed. Philadephia; W. B. Saunders Co. 1979: 1614-1634.
3. Saraf PG Valvo JR, Frank IN. Congenital Posterior Urethral Valve in Adults. Urology 1984; 23:55-57.
4. Muceller SC, Marshall FF. Spectrum of Unrecognised Urethral valves in the adult. 1bid 1984; 22:139-142.
5. Evbuomwon I; Okonkwo CF, Onuora VC: The posterior Urethral valve Uropathy” results of treatment-Indian Journal. 1994; 61: 351 356.
6. Osegbe DN.: Endoscopic ablations of Posterior Urethral values in Nigerian patients. Nigeria Medical Journal 1991; 131-137.
7. Ugbam GM. Obstructive Uropathy in children. Nigeria Journal of Surgical Sciences 1996; 6: 13-16.
8. Bomalaski MD; Anema Ja; Colpen DE. Koo HP, Rozanski T. And Bloom DA: Delayed presentation of posterior Urethral valves: a not so benign condition. J. Urol 1999 Dec. 162(6): 2130-2132.
9. Hebeke P; Van Lacke, Raes A; Vande Walle J. Urination disorders revealing posterior urethral valve: Clinical aspects. Arch Pediatr. 1997; 4 suppl 1: 10s - 13s.
10. Holmdahl G. Bladder dysfunction in boys with posterior urethral valves. Scand J. Urol. Nephrol suppl 1997; 188:1-36.
11. Chen WH, Lai MK, Lin GJ, Chu SH: Clinical experience of posterior urethral valves. J. Formos Med. Assoc. 1994 May; 93(5): 383-7.
12. Pieretti RV: The mild end of the clinical spectrum of posterior urethral valve. J pediatr. Surg. 1993 May; 28(5): 701-4.
13. Yamanishi T, Yasuda K, Hamano S; Murayama N, Saka Kibara R; Uchiyama T, Hattori T; Ito H: Urethral obstruction in patients with night time wetting: Urodynamic evaluation and outcome of surgical incision. Neurol Urodyn 2000; 19 (3): 241-8.