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Posterior Urethral Valve Treatment

Endoscopic ablation of obstructive valves in the most common congenital cause of male infant urinary obstruction.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Posterior Urethral Valve Treatment?

Posterior urethral valve is a congenital anomaly characterized by abnormal mucosal folds in the posterior urethra and is the most common congenital cause of bladder outlet obstruction in newborn boys.

It may be diagnosed antenatally with bilateral hydronephrosis and oligohydramnios, or postnatally with weak voiding stream, urinary retention and renal failure. Confirmed by VCUG and cystoscopy.

Endoscopic valve ablation is the first-line treatment. Long-term complications include renal failure, vesicoureteral reflux, bladder dysfunction (valve bladder syndrome) and infertility.

Symptoms

Antenatal bilateral hydronephrosis
Oligohydramnios
Weak voiding stream and dribbling
Urinary retention
Recurrent urinary tract infection
Failure to thrive
Elevated creatinine
Pulmonary hypoplasia

Risk Factors

Male sex (only)
Antenatally detected hydronephrosis
Oligohydramnios
Family history
Other genitourinary anomalies
Renal dysplasia
Antenatal vesicoureteral reflux
Newborn renal insufficiency

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Newborn male with weak voiding stream
  • Antenatal hydronephrosis
  • Newborn urinary retention
  • Recurrent UTI in male infant
  • Postoperative follow-up findings
  • Worsening renal function

Treatment Methods

01
Endoscopic valve ablation (cold knife or laser)
02
Vesicostomy (in unsuitable patients)
03
Postoperative VCUG follow-up
04
Anticholinergic and bladder management
05
Treatment of vesicoureteral reflux
06
Renal function monitoring
07
Nephrology and urology follow-up
08
Long-term genitourinary care

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.