Posterior Urethral Valves - Dr. Bhavesh Doshi, Pediatric Surgeon

Case No. 11: Posterior Urethral Valves

• Mucosal fold in the posterior part of the urethra causing obstruction to the flow of urine.
• Antenatally detected by the Key Hole sign on sonography.
• Postnatally child presents with a poor stream of urine, dribbling, and retention of urine.
• Best diagnosed by Micturating cystourethrogram. Frequently associated with vesico-ureteric reflux.
• Cystoscopic PU Valve fulguration is the treatment of choice.
• Long-term chemoprophylaxis, routine follow-up with investigations, paediatric nephrologist opinion, etc should always be taken.