Indian Journal of Urology
ORIGINAL ARTICLE
Year
: 2001  |  Volume : 17  |  Issue : 2  |  Page : 141--144

Outcome of children with posterior urethral valves: Prognostic factors


RA Kukreja, RM Desai, RB Sabnis, SH Patel, MR Desai 
 Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, India

Correspondence Address:
M R Desai
Department of Urology, Muljibhai Patel Urological Hospital, Dr. Virendra Desai Road, Nadiad - 387 001, Gujarat
India

Posterior urethral valves present with a wide spectrum of renal and bladder pathology. These changes may per­sist despite successful treatment of the primary obstruc­tion, leading to a gradual progress towards renal insf ciency. This study reviews retrospectively a series of 70 children with posterior urethral valves who pre­sented at our institute over the last 10 years, with an aim to identify the prognostic factors and help in defining the end result and implicating the correct treatment proto­col. These included age at presentation and intervention (less than or more than 2 years), recurrent urosepsis, pres­ence of vesico-ureteric reflux, renal parenchymal dam­age as seen on ultrasound, vesical dysfunction and the nadir serum creatinine level. 29% of children had renal insufficiency at the end of 3-years«SQ» follow-up. Factors important in the progression towards renal insufficiency were evaluated. Factors found to be statistically signifi­cant with a p value <0.05 were age at intervention more than 2 years, recurrent urosepsis, bilateral high grade vesico-ureteric reflex, bilateral parenchymal damage as seen on ultrasonography and nadir serum creatinine of more than 0.8 mg%.


How to cite this article:
Kukreja R A, Desai R M, Sabnis R B, Patel S H, Desai M R. Outcome of children with posterior urethral valves: Prognostic factors.Indian J Urol 2001;17:141-144


How to cite this URL:
Kukreja R A, Desai R M, Sabnis R B, Patel S H, Desai M R. Outcome of children with posterior urethral valves: Prognostic factors. Indian J Urol [serial online] 2001 [cited 2022 Jun 28 ];17:141-144
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2001;volume=17;issue=2;spage=141;epage=144;aulast=Kukreja;type=0