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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 : 2003  |  Volume : 8  |  Issue : 3  |  Page : 153-159

Posterior urethral valve : its clinical, biochemical and imaging patterns


Department of Pediatric Surgery NRS Medical College and Hospital Kolkata, India

Correspondence Address:
K Bhaumik
Department of Pediatric Surgery NRS Medical College and Hospital Kolkata
India
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Source of Support: None, Conflict of Interest: None


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ABSTRACT: Purpose: To observe the clinical, biochemical and imaging patterns of Posterior Urethral Valve (PUV) patients and how they change after initial treatment and during follow-up. Methods: 79 patients of posterior urethral valves were studied between January, 2000 and June, 2002. Their age ranged from 1 day to 11 years. Presenting features of these patients were studied clinically. Biochemical studies as blood urea, serum creatinine, electrolytes and imaging studies as Micturating Cystourethrogram (MCU), Ultrasonography (USG) and renal isotope scan were performed. Result: 55 percent of the patients presented under one year of age. The most common presentation was poor urinary stream followed by dribbling of urine. 37 percent of the patients presented with palpable kidneys, 62 percent with recurrent Urinary tract infection (UTI). Blood urea and Serum creatinine were raised in 91 percent of patients. Electrolyte abnormalities were present in 22 cases. USG showed hydronephrosis in 87 percent of cases. Micturating Cystourethrogram (MCU) showed reflux in 45 percent of cases. Renal scan showed bilateral hydronephrosis, reduced Glomerular Filtration Rate (GFR) and delayed excretory pattern.






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

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