Congenital obstructing posterior urethral membranes (COPUM): Further evidence for a common morphological diagnosis
- P. A. Dewan
- Pediatric Surgery International
Posterior urethral valves (PUV) are the commonest cause of bladder outlet obstruction in children. With improvement of primary health care and widespread use of ultrasonography during antenatal check-up, early diagnosis of PUV has increased. The first description of PUV was made in 1919 by Hugh Hampton Young 1 . PUV represents a spectrum of severity, ranging from disease incompatible with postnatal life to that which is minimal and not presenting until later in life. Management of PUV remains a clinical challenge requiring active management from infancy into adulthood to prevent progressive dysfunction and deterioration of both the upper and lower urinary tracts.