Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2003  |  Volume : 8  |  Issue : 3  |  Page : 148--152

Clinical spectrum of posterior urethral valve obstruction in children


SR Choudhury, R Chandha, A Puri, A Prasad, A Sharma, A Kumar 
 Department of Pediatric Surgery Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi-110001

Correspondence Address:
SR Choudhury
Department of Pediatric Surgery Kalawati Saran Children«SQ»s Hospital, Lady Hardinge Medical College, New Delhi-110001

ABSTRACT: Children with posterior urethral valve (PUV) obstruction constitute a significant number of hospital admissions in our Pediatric Surgery Unit. We present a single institution experience in the management of children with PUV. Over the past three years (2000-2002) 90 patients with PUV were treated in our hospital. Majority of them presented in the first year of life. Seventy one percent (64/90) had renal failure at presentation. Voiding cystourethrography (VCUG) was the mainstay of the diagnosis. Associated vesicoureteric reflux (VUR was present in (51/90) 56 percent of cases, and was mostly unilateral (90percent). After initial per urethral catheter drainage, 75 percent showed an improvement in the renal function. Primary urethral fulguration of valve was done mostly in older children whereas neonates and non-responders to catheter drainage underwent vesicostomy. The high incidence of diversion in our series was due to non-availability of adequate size resectoscope. Short-term follow up showed adequate growth and nutrition in children on vesicostomy with recovery of renal function. However, a significant number of renal units (90 percent unilateral and 10 percent bilateral) showed poor function with functional obstruction in DTPA scan. This report highlights the treatment protocol and problems faced in the management of children with PUV in a Paediatric Surgical Unit of a medical college hospital set-up.


How to cite this article:
Choudhury S, Chandha R, Puri A, Prasad A, Sharma A, Kumar A. Clinical spectrum of posterior urethral valve obstruction in children.J Indian Assoc Pediatr Surg 2003;8:148-152


How to cite this URL:
Choudhury S, Chandha R, Puri A, Prasad A, Sharma A, Kumar A. Clinical spectrum of posterior urethral valve obstruction in children. J Indian Assoc Pediatr Surg [serial online] 2003 [cited 2020 Nov 29 ];8:148-152
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2003;volume=8;issue=3;spage=148;epage=152;aulast=Choudhury;type=0