Urinomas associated with posterior urethral valves

The Journal of Urology
Jukka HeikkiläRisto Rintala

Abstract

We evaluated the incidence and clinical implications of urinomas in boys with posterior urethral valves. Our secondary aim was to evaluate the treatment modalities of urinomas. We retrospectively reviewed the hospital data of 200 patients with posterior urethral valves treated between 1953 and 2003. Documentation was sufficient in 196 cases to evaluate the presence of urinomas. A group of 69 patients with posterior urethral valves without urinoma served as controls. Of 196 patients 17 (9%) had urinoma. However, the incidence of urinoma increased to 15% after ultrasonography came into standard clinical use. Nine patients had perirenal urine collection, 6 had urinary ascites and 2 had urinothorax. At presentation median serum creatinine values were similar in patients with urinoma (145 mumol/l, range 54 to 431) and controls (126 mumol/l, 19 to 593, p = 0.547). Creatinine decreased similarly in patients with and without urinoma after the obstruction was relieved. Vesicoureteral reflux was detected in 69% of the patients with urinoma and in 76% of the controls. Median split function on the side of the urinoma was 51% (range 38% to 70%) on (99m)technetium diethylenetetramine pentaacetic acid scintigraphy. During childhood end-stage ...Continue Reading

References

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Citations

Jan 22, 2011·Advances in Urology·A ZaccaraM De Gennaro
Aug 27, 2014·Clinics in Perinatology·Douglass B Clayton, John W Brock
Feb 16, 2010·Journal of Pediatric Surgery·J M WellsLiam McCarthy
Feb 18, 2010·Pediatrics International : Official Journal of the Japan Pediatric Society·Metin Kaya GürgözeOnder Gün
Jun 5, 2016·Urology·Cinzia ChiaramonteGiuseppe Li Voti

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