Late presentation of posterior urethral valve
two case reports
Keywords:
Abnormalities, Urethra, Adult, Adolescent, DiagnosisAbstract
CONTEXT: Posterior urethral valve (PUV) is a widely known condition affecting males that generally presents prenatally or at birth. PUVs have also been occasionally described in literature in cases diagnosed during adolescence or adulthood. CASE REPORT: This report presents two late PUV cases, one in a teenager and the other in an adult. Both cases had had clinical signs of urinary tract infection and obstructive urinary symptoms. The diagnoses were made by means of voiding cystourethrography and urethrocystoscopy. Endoscopic valve fulguration was the treatment chosen for both. Their follow-up was uneventful.
Downloads
References
Casale AJ. Early ureteral surgery for posterior urethral valves. Urol Clin North Am. 1990;17(2):361-72.
Atwell JD. Posterior urethral valves in the British Isles: a mul- ticenter B.A.P.S. review. J Pediatr Surg. 1983;18(1):70-4.
Young HH, Frontz WA, Baldwin JC. Congenital obstruction of the posterior urethra. J Urol. 1919;3:289-365. J Urol. 2002;167(1):265-7; discussion 268.
Bomalaski MD, Anema JG, Coplen DE, Koo HP, Rozanski T, Bloom DA. Delayed presentation of posterior urethral valves: a not so benign condition. J Urol. 1999;162(6):2130-32.
Martin J, Anderson J, Raz S. Posterior urethral valves in adults: a report of 2 cases. J Urol. 1977;118(6):978-9.
Dutkiewicz S. Posterior urethral valves in an adult male. A case report. Int Urol Nephrol. 1994;26(5):555-8.
Woodhouse CR, Reilly JM, Bahadur G. Sexual function and fertility in patients treated for posterior urethral valves. J Urol. 1989;142(2 Pt 2):586-8; discussion 603-5.
Dimitriadis G, Hrysogonidis I, Kelidis G, et al. Válvulas congénitas de uretra posterior en pubertad con el único síntoma la enuresis primaria. [Congenital valves of the posterior urethra in puberty with primary enuresis as the only symptom]. Arch Esp Urol. 2002;55(5):539-41.
Drouin G, Laperrière J, Grégoire A. Urethral valves as a cause of dilated Cowper’s glands and perineal pain. J Urol. 1978;120(5):634-5.
Parkhouse HF, Barratt TM, Dillon MJ, et al. Long-term outcome of boys with posterior urethral valves. Br J Urol. 1988;62(1):59-62.
