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Year : 1985  |  Volume : 1  |  Issue : 2  |  Page : 109-112

Posterior urethral valves : a rational management.


Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

Correspondence Address:
M Bhandari
Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

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Source of Support: None, Conflict of Interest: None


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Forty six patients with posterior urethral valves were treated between 1979-83. Diffuria with distended bladder was the common (52 percent) clinical presentation. Sixty three percent had renal failure and 70 percent had significant urinary tract infection. The primary treatment consisted of value destruction unless associated uremia, septicemia and urinary ascites mandated supravesical diversion to save life. The method of destruction of the valves determines the complication rate. Vesico-ureteral reflux disapperaed spontaneously in the majority (70 percent) of cases, after the destruction of the valves. Three children (6.5 percent) died. One had incontinence and the other, stricture of the urethra.


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