Anterior and posterior urethral valves a rare association英文文献资料.docVIP

Open Journal of Pediatrics, 2011, 1, 34-36 OJPed doi:10.4236/ojped.2011.13009 Published Online September 2011 (http://www.SciRP.org/journal/ojped/). Anterior and posterior urethral valves: a rare association Sahnoun Lassaad , Lamiri Rachida , Ben Saad Manel , Salem Randa , Mekki Mongi , 1* 1 1 2 1 1 1 1 Maazoun Kais 1 , Krichene Imed , Jamila Chahed , Nouri Abdellatif 1 2 Department of Pediatric Surgery, Fattouma Bourguiba Hospital, Monastir, Tunisia; Department of Radiology, Fattouma Bourguiba Hospital, Monastir, Tunisia. Email: lassaad.sahnoun@rns.tn * Received 7 May 2011; revised 15 June 2011; accepted 22 July 2011. ABSTRACT without hydronephrosis (Figure 1). A retrograde cysto-urethrogram revealed the double infravesical obstruction and the dilated urethra sugges- tive of concomitant anterior and posterior urethral valves. The AUV was located at the bulbar urethra (Figure 2). There was no vesicoureteral reflux. With the patient under general anesthesia, an endo- scopic ablation of both valves was done by electrocau- tery hook. The bladder appeared trabeculated. An urinary catheter was left in place. Postoperatively, the patient was able to pass urine with good stream and had normal stable renal function. He was discharged 12 days after surgery. Three months later, the patient presented with urinary infection and dribbling. A renal ultrasound scan failed to show any abnormality. On cystoscopy, there were obs- Association of anterior and posterior urethral valve is a rare congenital anomaly causing lower urinary tract obstruction in children. This paper highlights our experience with a two-month-old boy with double urethral valves. Antenatal ultrasonogr