scholarly journals Giant urinoma in a newborn boy with a posterior urethral valve: A сase report and review

2021 ◽  
Vol 11 (1) ◽  
pp. 77-84
Author(s):  
Ilya M. Kagantsov ◽  
Suren S. Zadykyan ◽  
Robert S. Zadykyan ◽  
Vyacheslav G. Svarich ◽  
Vladimir G. Bairov ◽  
...  

Posterior urethral valve is the most common cause of infravesical obstruction in male newborns. Spontaneous rupture of the urinary collecting system with urine extravasation is a rare complication in this group of children. We present a case of urinoma in a patient with a posterior urethral valve at 4 weeks of age with renal insufficiency. The transurethral destruction of the valve and evacuation of the urinoma contributed to the restoration of the urodynamics and recovery of renal function. Urinoma is a rare manifestation of this defect, and its significance for predicting the preservation of renal function has not been fully determined yet. Reports about the occurrence of urine extravasation in the posterior urethral valve and studying kidney function in the long-term period can clarify the significance of this spontaneous mechanism of urinary tract decompression.

2011 ◽  
Vol 185 (6) ◽  
pp. 2329-2333 ◽  
Author(s):  
M.S. Ansari ◽  
R. Surdas ◽  
S. Barai ◽  
Aneesh Srivastava ◽  
Rakesh Kapoor

2016 ◽  
Vol 5 (1) ◽  
pp. 42-45
Author(s):  
Mahzabeen Islam ◽  
Masudur Rahman ◽  
Sankar Narayan Dey ◽  
Netay Kumer Sharma ◽  
Mir Naz Farzana

Posterior urethral valve (PUV) are the most common congenital obstructive lesion of the urethra and a common cause of obstructive uropathy in infancy. Clinical presentation depends on the severity of the obstruction. In case of severe obstruction, the diagnosis is usually made antenatally. Here, we present a case of antenatally diagnosed PUV of a fetus of a lady in her 9th month of pregnancy with mild lower abdominal pain for several hours. On ultrasound (US) examination, we found 36.5±2 weeks of pregnancy with mild to moderate oligohydramnios. Fetal urinary bladder was over distended; both the kidneys were grossly hydronephrotic and PUV like echo lucent area was seen at the prostatic region (Key hole sign). Emergency caesarian section (CS) was done and US of the baby showed typical US finding of PUV. The prognosis of antenatal diagnosis of PUV in early pregnancy is poor. But in this case due to the late onset of symptoms and as immediate necessary steps were taken, the baby was totally cured. This case was reported to aware about importance of antenatal anomaly scan and to share our experience. CBMJ 2016 January: Vol. 05 No. 01 P: 42-45


PEDIATRICS ◽  
2001 ◽  
Vol 107 (5) ◽  
pp. 1004-1010 ◽  
Author(s):  
K. S. Roth ◽  
W. H. Carter Jr ◽  
J. C. M. Chan

Urology ◽  
2017 ◽  
Vol 99 ◽  
pp. 278-280 ◽  
Author(s):  
Sorena Keihani ◽  
Abdol-Mohammad Kajbafzadeh ◽  
Seyedeh Maryam Kameli ◽  
Reza Abbasioun

2018 ◽  
Vol 2 (1) ◽  
pp. A1-7
Author(s):  
Punit Srivastava ◽  
Richa Jaiman ◽  
Vijay D Upadhyay ◽  
A N Gangopadhyay

2019 ◽  
Vol 8 (3) ◽  
pp. 231-236
Author(s):  
V. A. Vorobev ◽  
V. A. Beloborodov ◽  
S. L. Popov

Introduction. Urethral valves (UVs) are congenital malformations of the urethra, leading to infravesical obstruction. The most common UV is the posterior urethral valve (PUV). The anterior urethral valve (AUV) is a somewhat rarer, but still well-known congenital anomaly. UVs can provoke significant obstruction of the proximal urinary system, which can later lead to disability of children and more frequent deaths.Materials and methods. The article presents a clinical example of a 32-year-old man with a congenital double urethral valve occuring in the anterior and posterior urethra, which led to the development of chronic urinary retention, urinary tract infection and chronic renal failure. The patient underwent a successful urethroplasty operation to remove the valve mechanism.Results. Six months following surgery, the patient noted the complete disappearance of symptoms, with renal function having returned to normal. No signs of recurrence of the disease or the formation of stricture of the urethra were detected by to the survey.Conclusion. A congenital variant of the double UV is an unusual extremely rare cause of infravesical obstruction. Early diagnosis and treatment of this anomaly is very important for preventing further irreversible damage to the urinary system. The presented clinical observation demonstrates the need to organise and conduct periodic preventive examinations of children of different age groups.


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