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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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CASE REPORT |
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Volume 24 |
April - June 2008 (Part-I) |
Number 2 |
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Anterior urethral valves: A rare cause of
urethral obstruction in children
Saqib Ismail1, Anwarul-Haq2,
Abdul Rasheed3,
Mohammad Ali4, Saifullah Khan5, Iftikhar Ahmed Jan6
ABSTRACT
Anterior urethral valves are uncommon cause of urethral obstruction in children and diagnosis may be delayed due to rarity of condition. The symptoms mimic those of posterior urethral valves. We are reporting a four years old boy who presented with recurrent urinary tract infections, difficulty in micturition and dribbling of urine. Ultrasound showed bilateral hydronephrosis, hydrouerter and a large bladder with 100 ml of post voiding residual urine. Micturating cystourethrogram showed trabeculated bladder with dilated urethra to the navicular fossa. Cystoscopy revealed fibrous valves just proximal to the navicular fossa. Ablation of valves caused immediate relief of symptoms. Child remained symptoms free at six months follow-up.
KEY WORDS: Anterior urethral valves, Bladder out obstruction, Urinary tract infection.
Pak J Med Sci April - June 2008 (Part-I) Vol. 24 No. 2 311-313
1. Saqib Ismail
2. Anwarul-Haq
3. Abdul Rasheed
4. Mohammad Ali
5. Saifullah Khan
6. Iftikhar Ahmed Jan
Dept. of Pediatric Surgery,
The Children’s Hospital, PIMS.
Islamabad, Pakistan.
Correspondence:
Iftikhar Ahmad Jan
FCPS, FRCS Ed, FACS, FEBPS
Professor of Pediatric Surgery,
The Children’s Hospital, PIMS.
Islamabad,
Pakistan.
Email: iftikarjan@gmail.com
* Received for Publication: September 10, 2007
* Revision Received: January 21, 2008
* Revision Accepted: January 25, 2008
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