PMID: 9181008Jan 1, 1997Paper

Posterior urethral valve: determining factors of long-term results

Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
Pierre Mouriquand

Abstract

Posterior urethral valves (PUV) is the most common congenital urine flow impairment in boys. Long-term prognosis involves: renal function impaired in 30 to 50% of PUV and leading to hyperdiuresis, low GFR and acidosis; bladder urodynamics impaired in 75% of PUV with abnormal urine storage, abnormal micturition and vesicoureteric reflux. Incontinence and recurrent urinary tract infections commonly reflect bladder and renal failures; abnormal bladder outlet leads to incontinence and abnormal ejaculation. The roles of antenatal treatments (vesico-amniotic shunts), neonatal treatments (resuscitation and endoscopic treatment of PUV) and long-term treatments (urinary diversions, bladder augmentation, alpha blockers, anticholinergic, dialysis and renal transplant) in the long-term outcomes of PUV are reviewed.

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Citations

Apr 3, 2009·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M TrelluD Morin

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