ESPN 53rd Annual Meeting

ESPN 2021


 
Presentation, management, and outcome of posterior urethral valves in a tertiary hospital
MEHMET YAN 1 DEMET ALAYGUT 2 GÖKÇEN ERFIDAN 1 EREN SOYALTIN 1 TUNÇ ÖZDEMIR 3 SEÇIL ARSLANSOYU ÇAMLAR 2 FATMA MUTLUBAŞ 1 BELDE KASAP DEMIR 1

1- IZMIR UNIVERSITY OF HEALTH SCIENCES TEPECIK EDUCATION AND RESEARCH HOSPITAL DEPARTMENT OF PEDIATRICS
2- IZMIR UNIVERSITY OF HEALTH SCIENCES TEPECIK EDUCATION AND RESEARCH HOSPITAL DEPARTMENT OF PEDIATRIC NEPHROLOGY
3- IZMIR UNIVERSITY OF HEALTH SCIENCES TEPECIK EDUCATION AND RESEARCH HOSPITAL DEPARTMENT OF PEDIATRIC SURGERY
 
Introduction:

The aim of this study was to evaluate the presentation, management, challanges and outcome of the disease in a tertiary hospital in Izmir inTurkey. 

Material and methods:

 

Retrospectively, medical records of male children with a diagnosis of PUVs over a 10 year period (2009-2019) were retrieved. All data in relation to the study objectives were recorded and analyzed.

Results:

 A total of 43 cases, 38 Turkish and 5 Syrian, were included in the study. 21 had been diagnosed under 1 month. The mean age of diagnosis of the remaining 22 was 32, 45 ± 45.43 (1-132) months. Average gestational weeks were 37.4 ± 2.59 median 38 weeks, 17 (39.5%) cases were diagnosed antenatally. Seven cases had antenatal hydronephrosis and one patient had intrauterine vesicoamniotic shunt. The most common complaint was urinary tract infection and 55% of these cases were diagnosed with urosepsis. In ultrasonographic examinations at the time of diagnosis, 33 (76.7%) cases had hydronephrosis. Nine cases (20.9%) had an increase in parenchymal echogenicity, and eight (18.6%) had atrophy. Systemic anomaly was accompanied by 13.9% of the cases and urinary system anomaly was accompanied by 74.4%. Among these anomalies, vesicoureteral reflux was the first with 62.7%. Postnatal surgery was performed in 38 cases. 22 (51.2%) were PUV resection only, 9 (20%, 9) PUV resection and vesicostomy operation. The urodynamics report of 25 (58.1%) cases was available. Nine cases had flask bladder.14 (32.6%) cases were performing clean intermittent catheterization. Seven (16.3%) of the cases received renal replacement therapy. Six patients had undergone renal transplantation. In total, 12 (27.9%) cases received hypertension treatment and 10 (23.3%) cases had proteinuria.

Conclusions:

 

Valve ablation was very helpful in establishing satisfactory urine flow in affected patients. Renal transplantation can be applied in selected cases. PUV is a disease with long-term morbidity.