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Long Term Outcome of Treated Posterior Urethral Valve Patients at a Tertiary Care Center

Neeraj Agarwal, Associate Professor, Department of Urology, SMS Medical College, Jaipur, Rajasthan 302004, India. , Neha Agarwal1 , Neeraj Agarwal2 , Megha Agarwal3

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Pediatric Education and Research 6(2):p 100-103, May - August 2018. | DOI: DOI: https://dx.doi.org/10.21088/per.2321.1644.6218.10

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Abstract

Background: Posterior urethral valve is one of the most common causes of bladder outlet obstruction. It’scongenital defects which most commonly affect male children.

Aim: The aim of this study is to evaluate the Long term outcome of treated posterior urethral valve patients at a tertiary care center.

Materials and Methods: The Present study was conducted in SMS Medical College & Hospital, Jaipur, Rajasthan, India.A total of 40 patients with mean age of 2 years were selected for the study. Parameters like, including age at presentation, serum creatinine, initial creatinine clearance, renal ultrasound findings and ascites were studied. Long-term renal outcome was assessed.

Results: Of the 40 patients 18 were aged below 2 years i.e. 45%, 21 were aged between 2 to 4 years i.e. 52.5% and 9 of the were aged between 5 to 7 years i.e. 22.5%. Primary fulguration was carried in 77.5% cases and fulguration diversion in 22.5%.

Conclusion: Posterior urethral disease is very common though its rate has declined for past few years. Urethral valve ablation is safe and easy procedure to be carried out. 

Keywords: Urethral Valve; Tertiary Care Unit; Creatinine; Renal Dysfunction.

 

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DOI: DOI: https://dx.doi.org/10.21088/per.2321.1644.6218.10

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