How rare is posterior urethral valves?

PUV are thought to develop in the early stages of fetal development. The abnormality affects only male infants and occurs in about 1 in 8,000 births. This disorder is usually sporadic (occurs by chance). However, some cases have been seen in twins and siblings, suggesting a genetic component.

How are posterior urethral valves treated?

The most common treatment for posterior urethral valves is a minor surgical procedure to remove the obstructing valve. This is done through a cystoscope with a camera that is inserted into the urethra. The valve is burned away (ablated).

What is fulguration of posterior urethral valve?

Posterior urethral valves are the most common cause of congenital obstructive uropathy leading to renal failure in childhood. This study was undertaken to assess the outcome of endoscopic fulguration of posterior urethral valves based upon the clinical, radiological and laboratory findings.

Can girls get PUV?

Girls are not affected by PUV disorder. Posterior urethral valve disorder varies in severity. The more severe cases can sometimes be diagnosed during a fetal ultrasound, but the less severe cases may not be diagnosed until a boy is at older.

Can PUV come back?

UTIs are treated with medicines called antibiotics, which kill the germs. Some boys with PUV get UTIs that keep coming back, even after treatment – these are called recurrent UTIs.

Is PUV a kidney disease?

Between 15 and 20 percent of people with PUV develop a condition called kidney failure. This can occur before the child is born, during the first few weeks of life, or later in life. When this happens, the child will need dialysis or a kidney transplant.

Is PUV serious?

PUV can cause serious problems because they stop – or partially stop – urine flowing out of the bladder and through the urethra. After the PUV are removed by surgery, some boys have no symptoms or complications.

Why is PUV only in males?

Posterior urethral valve (PUV) disorder is an obstructive developmental anomaly in the urethra and genitourinary system of male newborns. A posterior urethral valve is an obstructing membrane in the posterior male urethra as a result of abnormal in utero development….

Posterior urethral valve
Specialty Urology

Is PUV life threatening?

Abstract. Urethral obstruction due to posterior urethral valves (PUV) is a more lethal condition in the newborn than is commonly recognized.

How is PUV diagnosed?

PUV can be diagnosed by a routine ultrasound scan during pregnancy if the bladder, ureters or kidneys are swollen. It can also be diagnosed in a newborn baby if the bladder is swollen and urine dribbles constantly.

Is PUV curable?

PUV need to be removed by surgery. Sometimes, other treatment is needed. Boys who have had PUV may have problems in their kidneys and/or bladder later in childhood, and will need follow-up throughout their lives.