Outcome of Late Presentation of Posterior Urethral Valves

Abstract

Background: Posterior urethral valves (PUVs) are one of the most common structural causes of lower urinary tract obstruction in male infants. The present study conducted to assess the outcome of Late Presentation of Posterior Urethral Valves. Material and methods: This is a retrospective descriptive study conducted to assess the outcome of Late Presentation of Posterior Urethral Valves. Data such as age at presentation, symptoms and duration of symptoms, complications, investigation, and initial management were collated. Data was analyzed using Statistical Package for the Social Sciences version 20.0. Results: There were 30 boy patients. Clinical findings at presentation include voiding anomaly (100%); recurrent fever (86.66%); ballotable kidneys (80%); palpable bladder (83.33%); failure to thrive (33.33%); other symptoms like urinary incontinence, polyuria, and enuresis (33.33%). Renal failure occurs in 70% patients. Of these, 60% required renal replacement therapy but only 16.66% were able to receive the therapy during the study period. Conclusion: The present study concluded that clinical findings at late presentation include voiding anomaly (100%); recurrent fever (86.66%); ballotable kidneys (80%); palpable bladder (83.33%); failure to thrive (33.33%); other symptoms like urinary incontinence, polyuria, and enuresis (33.33%). Renal failure occurs in 70% patients. Of these, 60% required renal replacement therapy but only 16.66% were able to receive the therapy during the study period.