Home | About Us | Current Issue | Ahead of print | Archives | Search | Instructions | Subscription | Feedback | Editorial Board | e-Alerts | Login 
Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
 Users Online:1011 
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size
Year : 2003  |  Volume : 8  |  Issue : 3  |  Page : 133-139

The experience of managing posterior urethral value (PUV) over a period of 22 years : a single center study

Dept. of Pediatric Surgery Institute of Medical Sciences Banaras Hindu University Varanasi-221005, India

Correspondence Address:
AN Gangopadhaya
Dept. of Pediatric Surgery Institute of Medical Sciences Banaras Hindu University Varanasi-221005
Login to access the Email id

Source of Support: None, Conflict of Interest: None

Rights and PermissionsRights and Permissions

ABSTRACT: The mortality of posterior urethral valve (PUV) has dropped in the recent past because of its early diagnosis and better medical and surgical care. The incidence of PUV in our study was 3.5 per 1000 Pediatric Surgical OPD cases. Nearly half (47.68 percent) presented in the first three months of life and 75 percent presented with urinary symptoms. Inspite of various non invasive procedures, the voiding cystourethrogram (VCU) still stands out as the most important investigation for deciding the course of action. Primary valve ablation should be tried in al cases before embarking upon diversion. In our series, loop cutaneous ureterostomy was found to have better results than cutaneous vesicostomy. For long-term follow up, serial estimation of serum creatinine and examination of urine for pus cells are the two most simple, yet effective tests for assessing the prognosis. DMSA/DTPA renal scan and urodynamic studies are required in problematic cases only. Out of 516 cases assessed for long term follow up (5-20 years), only 312 (60.5 percent) are coning for regular follow up and 52 percent are leading normal life with normal renal parameters. Out the these 312 cases, only 48 percent have attained 80th percentile of height and 70th percentile of weight and the rest are below 50th percentile in term of height and weight as compared to normal age matched control group.

[PDF Not available]*

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded91    
    Comments [Add]    

Recommend this journal


Contact us | Sitemap | Advertise | What's New | Copyright and Disclaimer | Privacy Notice

  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05