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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 : 2019  |  Volume : 24  |  Issue : 1  |  Page : 4-14

Consensus on the management of posterior urethral valves from antenatal period to puberty


1 Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India
2 Consultant Pediatric Surgeon, Department of Pediatric Surgery, King Saud Hospital, Uneyzha City, Kingdom of Saudi Arabia
3 Department of Pediatric Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India
4 Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
5 Department of Pediatric Surgery, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
6 Department of Pediatric Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
7 Department of Pediatric Surgery, Maulana Azad Medical College, Delhi, India
8 Department of Paediatric Surgery, Paediatric Surgery Centre and PG Institute, Sangli, Maharashtra, India
9 Department of Paediatric Surgery, Deccan College of Medical Sciences, Hyderabad, India
10 Department of Paediatric Surgery, Gauhati Medical College, Guwahati, Assam, India
11 Consultant Pediatric Surgeon, Institute of Child Health, Kolkata, West Bengal, India

Correspondence Address:
Shilpa Sharma
Room No. 4001, Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.JIAPS_148_18

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The need for successful management of posterior urethral valves always captivates the minds of pediatric surgeons. Its success, however, depends on several factors ranging from prenatal preservation of upper tracts to postoperative pharmacological compliance. Regardless of measures available, some cases do not respond and progress to end stage. The management depends on several issues ranging from age and severity at presentation to long-term follow-up and prevention of secondary renal damage and managing valve bladder syndrome. This article is based on a consensus to the set of questionnaires, prepared by research section of Indian Association of Paediatric Surgeons and discussed by experienced pediatric surgeons based in different institutions in the country. Standard operating procedures for conducting a voiding cystourethrogram and cystoscopy were formulated. Age-wise contrast dosage was calculated for ready reference. Current evidence from literature was also reviewed and included to complete the topic.






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

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