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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2005  |  Volume : 10  |  Issue : 3  |  Page : 158-162

Posterior urethral valves: The value of high diversion


Department of Paediatric Surgery, Sheffield Children's Hospital, Western Bank, Sheffield S10 2TH, United Kingdom

Correspondence Address:
A E MacKinnon
Department of Paediatric Surgery, Sheffield Children's Hospital, Western Bank, Sheffield S10 2TH
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.16966

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The management of posterior urethral valves remains a challenge to the paediatric urologist. Many cases diagnosed early may be managed by endoscopic surgery. However, where there is a gross upper tract dilatation, consideration needs to be given to temporary diversion to allow recovery of renal function and the elimination of infection. Western literature leans strongly towards nondiversion. However, in those countries, most patients present early, and often by antenatal diagnosis. Countries not having universally, highly developed medical services encounter more of the complicated cases. Evaluation of the role of upper tract diversion in such circumstances has not been conclusively established, but literature review indicates a role in selected cases.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05