| A Case of Posterior Urethral Valve. |
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Sung Bae Park1, Hwan Jong Kim1, Kyu Cha Kim1, Bong Guk Kim2 |
1Department of Pediatrics, Jeonbug National University Medical School, Korea.
2Department of Urology, Jeonbug National University Medical School, Korea. |
| 先天性 POSTERIOR URETHRAL VALVE 一例報告 |
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朴成培1, 金煥鍾1, 金圭次1, 金奉國2 |
1全北大學校 醫科大學 小兒科學敎室
2全北大學校 醫科大學 泌尿器科學敎室 |
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| Abstract |
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The most common site of posterior urethral valve is that in which there is an exaggeration of the normal ridges which extend from the midline dorsal urethral ridge and from the verumontanum to surround the urethra just before the membranous region. Obstruction to urine flow may be complete or partial. In patients with partial obstruction, failure to thrive, systemic acidosis with renal failure and continuous over-flow dribbling rather than a good urinary stream may be seen. Apart from the problem of renal damage consequent to the obstruction, these children are subject to recurrent urinary infections. Excretory urography and retrograde cystourethrography are needed to establish the diagnosis. The characteristic proximal ballooning of the urethra is best seen during micturition or attempts to express urine from the bladder. Early surgical decompression is warranted. A temporary diversionary procedure is recommended, with a definitive operation at a later age to correct the valvular obstruction. We experienced a case of posterior urethral valve which was developed in a 4 years old boy, treated this case by destruction of posterior urethral valve and report it with brief review of literatures. |
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