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Case Reports
. 2021 Apr 26:2021:6647692.
doi: 10.1155/2021/6647692. eCollection 2021.

Rare Associations with Posterior Urethral Valves

Affiliations
Case Reports

Rare Associations with Posterior Urethral Valves

Ahmed Osama Mohamed et al. Case Rep Urol. .

Abstract

Posterior urethral valves are a common cause of congenital bladder outlet obstruction. Known associations include cardiac malformations and gastrointestinal abnormalities. In this case series, we report on two cases of PUV associated with anorectal malformations along with a case of PUV in monochorionic diamniotic twins. We explore the difficulty in achieving a diagnosis and the final management. The association of posterior urethral valves in a patient with anorectal malformation should be suspected in case of associated oligohydramnios or oliguria postnatally. There should be a high index of suspicion in twin pregnancy even if only one of the twins is suspected of bladder outlet obstruction.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
MCUG showing evidence of PUV and rectobulbar fistula.
Figure 2
Figure 2
Dilated posterior urethra on MCUG.
Figure 3
Figure 3
Dilated posterior urethra and left grade V reflux.
Figure 4
Figure 4
Dilated posterior urethra and a trabeculated urinary bladder.

References

    1. Brownlee E., Wragg R., Robb A., Chandran H., Knight M., McCarthy L. Current epidemiology and antenatal presentation of posterior urethral valves: outcome of BAPS CASS National Audit. Journal of Pediatric Surgery. 2019;54(2):318–321. doi: 10.1016/j.jpedsurg.2018.10.091. - DOI - PubMed
    1. Chao T. T., Dashe J. S. Posterior Urethral Valves. Second. Elsevier Inc.; 2017.
    1. Krishnan A., De Souza A., Konijeti R., Baskin L. S. The anatomy and embryology of posterior urethral valves. The Journal of Urology. 2006;175(4):1214–1220. doi: 10.1016/S0022-5347(05)00642-7. - DOI - PubMed
    1. Young H. H., Frontz W. A., Baldwin J. C. Congenital obstruction of the posterior urethra. The Journal of urology. 1919;3(5):289–366. doi: 10.1016/S0022-5347(17)74179-1. - DOI - PubMed
    1. Dewan P. A., Goh D. G. Variable expression of the congenital obstructive posterior urethral membrane. Urology. 1995;45(3):507–509. doi: 10.1016/S0090-4295(99)80024-7. - DOI - PubMed

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