Posterior Urethral Valve
Conditions
Brief summary
To evaluate the long-term outcome after fulguration of the posterior urethral valve.
Detailed description
Posterior Urethral Valves (PUV) are the most common cause of lower urinary tract obstruction. More severe forms are detected early in pregnancy (mainly type I), while other forms are usually discovered later in childhood when investigating lower urinary tract symptoms. Bladder dysfunction is common and is associated with urinary incontinence in about 55% (0%-72%). Despite the removal of the obstruction by urethral valve ablation, pathological changes in the urinary tract can occur with progressive bladder dysfunction, which can cause deterioration of the upper urinary tract as well. For this reason, all children with PUV require long-term follow-up, always until puberty. In many cases, the life-long current status is uncertain. The current literature lacks research on long-term outcomes.
Interventions
PROCEDUREFulguration
Posterior urethral valve fulguration
Sponsors
Assiut University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
MALE
Healthy volunteers
No
Inclusion criteria
* Patients with fulguration of PUV since 1 year or more
Exclusion criteria
* Patients with neurogenic bladder or meningocele or spina bifida . Patients with renal parenchymal disease and inflammation not related to posterior urethral valve . Diabetic patients . Parental refusal .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The rate of spontaneous voiding with insignificant or absent PMR ( according to equation to age ) after one year from fulguration of the PUV. | One year postoperative |
Contacts
Primary ContactKeroles Ashraf Soliman Eskaros Dr
Outcome results
None listed