PU Posterior Urethral Valves

Posterior urethral valves is a condition in the male urethra that causes an obstructive and abnormal flow of urine. These obstructive flaps of tissues can occur congenital ie pre-natal or acquired after birth.

Types & Causes:

  • Cogenital- From birth (Prenatal)
  • Low levels of amniotic fluid and problems

Symptoms:

  • Urinary tract swelling detected in prenatal ultrasound.
  • Bloody urine (hematuria)
  • Lump in the abdomen (abdominal mass)
  • Kidney infection
  • Poor growth in infants (failure to thrive)
  • Urinary tract infection, usually with fever
  • Vomiting

Diagnosis Tests:

  • Prenatal ultrasound.
  • Radigraphic imaging.
  • Voiding cystourethrogram.
  • Cytoscopy.

Treatment:

  • Cathedral treatment after birth.
  • Endoscopic valve ablation.
  • Fetal intervention in severe cases (between 3 to 8 weeks of pregnancy).
  • Prophylactic antibiotics
  • Anticholinergic medication.

Risks:

  • Kidney failure risk 20%.
  • Urine leakage.
  • Urine incontinency.
  • Abnormalities in bladder storage.

Prevention & Precaution is Better than Cure:

Regularly monitor bladder/ kidney functions.

Alternative Therapies:

Psychological counseling.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.