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Vol. 9 No. 2 (2023)

October 2023

Double Anterior Urethral Valve Causing Obstructive Uropathy Congenital Obstructive Uropathy

  • Akshay Kalavant
  • Shreesha Nayak
  • Anil B Halgeri
  • Prashant K Zulpi

Iranian Journal of Pediatric Surgery, Vol. 9 No. 2 (2023), 22 October 2023
Published: 2023-10-28

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Abstract

Posterior urethral valve is common congenital cause of lower urinary tract obstruction leading to chronic renal damage. Anterior urethral valve although 7 times less common compared to the former but can lead to similar outcome. There are various case reports suggesting concomitant anterior and posterior urethral obstruction. We are reporting a 2-year-old boy with anterior urethral diverticulum in two places. A high index of suspicion and a thorough micturating cystourethrogram is a key in successful management of the condition.

Keywords:
  • anterior urethral valve
  • multiple urethral obstruction
  • obstructive uropathy in children
  • double urethral obstruction
  • anterior urethral diverticulum
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How to Cite

Kalavant, A., Nayak, S., Halgeri, A., & Zulpi, P. (2023). Double Anterior Urethral Valve Causing Obstructive Uropathy: Congenital Obstructive Uropathy. Iranian Journal of Pediatric Surgery, 9(2). Retrieved from https://journals.sbmu.ac.ir/irjps/article/view/34840
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References

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Mirshemirani A, Khaleghnejad A, Rouzrokh M, et al: Posterior Urethral Valves; A single Center Experience. Iran J Pediatr. 2013 Oct;23(5):531-5.

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Karnak I, Senocak ME, Buyukpamukcu N, et al: Rare congenital abnormalities of the anterior urethra. Pediatr Surg Int 12:407–409.

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Routh JC, McGee SM, Ashley RA, et al: Predicting renal outcomes in children with anterior urethral valves: a systematic review. J Urol. 2010; 184(4):1615–9.

Cruz-Diaz O, Salomon A, Rosenberg E, et al : Anterior urethral valves : not such a benign condition. Front Pediatr. 2013; 1:35.

Sheth KR, White JT, Bilgutay AN, et al: Anterior urethral valves - A rare but challenging congenital pathology. J Pediatr Urol. 2020 Apr 4: S1477-5131(20)30078-4.

Keihani S, Kajbafzadeh AM: Concomitant Anterior and Posterior Urethral Valves: A Comprehensive Review of Literature. Urology. 2015;86(1):151-7.

McLellan DL, Gaston MV, Diamond DA, et al: Anterior urethral valves and diverticula in children: a result of ruptured Cowper’s duct cyst? BJU Int 2004;94: 375e8.

Bates DG, Coley BD: Ultrasound diagnosisof anterior urethral valve. PediatrRadiol2001; 31:634-6.

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