Anterior urethral valves without diverticulum, a rare cause of infravesical obstruction and vesicoureteral reflux in children: Report of two cases and literature review

@article{Bothra2017AnteriorUV,
  title={Anterior urethral valves without diverticulum, a rare cause of infravesical obstruction and vesicoureteral reflux in children: Report of two cases and literature review},
  author={Jyoti Bothra and Charu Tiwari and Gursev Sandlas and Hemanshi Shah},
  journal={Pediatric Urology Case Reports},
  year={2017},
  volume={4},
  pages={360-363}
}
Congenital anterior urethral valve is a rare condition causing significant obstructive uropathy in pediatric age group. It is much rarer than posterior urethral valve. However, the clinical course is similar. We present two cases of anterior urethral valves in children. 

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References

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TLDR
The case of a 1-year-old male child with a congenital anterior urethral diverticulum that can lead to obstructive lower urinary tract symptoms and urosepsis is presented.
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TLDR
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The spectrum of imaging findings of common and uncommon anomalies involving the male urethra are presented and the pediatric radiologist should be well aware of these conditions.
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In patients with AUVs, the complication rate and the evolution to renal failure are high and similar to patients with PUV, so long-term follow up and close evaluation of patient's bladder and renal function are recommended.
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Vesicostomy used as an initial treatment rather than transurethral fulguration may prevent potential complications that can occur due to the small size of the neonatal urethra, which must be ruled out in boys with pre-natal ultrasound indicating infravesical obstruction.
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TLDR
An intravenous pyelogram showed relatively normal upper urinary tracts, apart from a slight bifid renal pelvis in the left kidney, and a film taken during vo iding suggested a degree of constriction of the poste rior urethra.
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